Individual
LAUREL BORREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 N PARHAM RD, SUITE 211, HENRICO, VA 23294-4411
(804) 658-5930
(804) 658-5404
Mailing address
2817 N PARHAM RD, SUITE 211, HENRICO, VA 23294-4411
(804) 658-5930
(804) 658-5404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4652416922
VA
251S00000X
Community/Behavioral Health Agency
2574-03-001
VA
Other
Enumeration date
01/10/2017
Last updated
03/12/2018
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