Individual
THERESA BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7113 THREE CHOPT RD, RICHMOND, VA 23226-3643
(804) 562-9997
(804) 562-9742
Mailing address
2632 CENTRAL AVE, RICHMOND, VA 23225-2062
(804) 363-6606
(866) 273-7097
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
0701008882
VA
251S00000X
Community/Behavioral Health Agency
Primary
0701008882
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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