Individual
MRS. ATHALIA EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3329 BOURBON ST, SUITE A, FREDERICKSBURG, VA 22408-7348
(540) 656-3662
(888) 770-0014
Mailing address
3329 BOURBON ST, SUITE A, FREDERICKSBURG, VA 22408-7348
(540) 656-3662
(888) 770-0014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701005618
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701005618
VA
101YM0800X
Mental Health Counselor
0701005618
VA
101YP2500X
Professional Counselor
Primary
0701005618
VA
Other
Enumeration date
10/25/2013
Last updated
04/19/2017
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