Individual
LA-RETHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1811 KING ST, PORTSMOUTH, VA 23704-3032
(757) 393-8618
Mailing address
5963 EAGLE PT, PORTSMOUTH, VA 23703-5373
(757) 284-4890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701014422
VA
101YP2500X
Professional Counselor
Primary
0701014422
VA
Other
Enumeration date
02/11/2025
Last updated
02/15/2025
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