Individual
JUANITA D HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
1949 BEACON ST, SALEM, VA 24153-4539
(540) 240-1608
Mailing address
1949 BEACON ST, SALEM, VA 24153-4539
(540) 240-1608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
070101510
VA
Other
Enumeration date
06/02/2021
Last updated
10/02/2023
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