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Individual

RONDA LYNN TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 W BANK ST, PETERSBURG, VA 23803-3279
(804) 541-8660
(804) 452-4143
Mailing address
7055 COURTHOUSE RD, PRINCE GEORGE, VA 23875-2540
(804) 240-5953

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007529
VA

Other

Enumeration date
02/20/2018
Last updated
02/20/2018
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