Individual
ANGELA GOODPASTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9532 REDINGTON DR, NORTH CHESTERFIELD, VA 23235-4046
(540) 420-8139
Mailing address
9532 REDINGTON DR, NORTH CHESTERFIELD, VA 23235-4046
(540) 420-8139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009439
VA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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