Individual
ELISA N DATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24282 JAMES MONROE HWY, ALDIE, VA 20105-2732
(703) 615-4177
Mailing address
9721 INKWOOD DR, FREDERICKSBURG, VA 22407-9344
(619) 244-3189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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