Individual
MRS. RACHEL LIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESIDENT IN COUNSELI
Contact information
Practice address
3217 WESTERN BRANCH BLVD STE C, CHESAPEAKE, VA 23321-5235
(757) 956-6100
(757) 956-6101
Mailing address
2713 DEERFIELD CRES, CHESAPEAKE, VA 23321-2447
(175) 795-6610
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
070413018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070413018
RESIDENT IN COUNSELING LICENSE
VA
Enumeration date
08/12/2021
Last updated
08/12/2021
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