Individual
MISS NYAA-SIMONE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1605 BROOK RD, RICHMOND, VA 23220-1801
(804) 644-4444
Mailing address
957 PLEASANT ST, RICHMOND, VA 23223-5945
(781) 956-6932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014740
VA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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