Individual
LETICIA EMANUELLE TARTAKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5901 KELBROOK LN, GLEN ALLEN, VA 23059-5370
(804) 501-9492
Mailing address
5901 KELBROOK LN, GLEN ALLEN, VA 23059-5370
(804) 501-9492
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010543
VA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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