Individual
ANDREA DEVOOGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(703) 534-5100
Mailing address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016842
VA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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