Individual
ELIZA VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 W MAIN ST # B, RICHMOND, VA 23220-4827
(804) 380-4471
Mailing address
5306 TUCKAHOE AVE, RICHMOND, VA 23226-2221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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