Individual
OLIVIA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7635 HULL STREET RD, 201, NORTH CHESTERFIELD, VA 23235-6436
(804) 447-6382
Mailing address
7635 HULL STREET RD, 201, NORTH CHESTERFIELD, VA 23235-6436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006678
VA
Other
Enumeration date
08/20/2016
Last updated
10/04/2016
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