Individual
MRS. ANGELA DAWN CHEATHAM PETRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1909 HUGUENOT RD STE 301, NORTH CHESTERFIELD, VA 23235-4314
(804) 350-7952
(866) 330-1467
Mailing address
9411 GUM FORK RD, MIDLOTHIAN, VA 23112-1420
(804) 502-5622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007826
VA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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