Individual
ALICIA PEREZ MAISONAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3143 MAGIC HOLLOW BLVD, STE 200, VIRGINIA BEACH, VA 23453-3077
(757) 636-3164
(757) 368-2839
Mailing address
908 CANTOR ST, CHESAPEAKE, VA 23322-4643
(757) 636-3164
(757) 368-2839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004226
VA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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