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Individual

MARGARET THEADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
10900 NUCKOLS RD STE 100, GLEN ALLEN, VA 23060-9276
(804) 207-6737
Mailing address
10900 NUCKOLS RD STE 100, GLEN ALLEN, VA 23060-9276
(804) 207-6737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2002359-TRNE
OH
101YP2500X
Professional Counselor
Primary
0701015321
VA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
06/28/2016
Last updated
03/03/2026
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