Individual
LADONNA LARNICE DEVANE-PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
707 GITTINGS ST STE 120, SUFFOLK, VA 23434-6101
(757) 514-3248
Mailing address
1201 PLEXOR LN, KNIGHTDALE, NC 27545-7279
(910) 632-4580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013967
VA
103TC1900X
Counseling Psychologist
0701013967
VA
Other
Enumeration date
09/17/2024
Last updated
11/12/2024
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