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Individual

ALYSSA WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2002 BREMO RD STE 110, RICHMOND, VA 23226-2441
(804) 482-0583
(804) 525-9580
Mailing address
3119 MCCABE CT, CHESTER, VA 23831-7026
(804) 482-0583

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011546
VA

Other

Enumeration date
02/28/2023
Last updated
09/18/2025
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