Individual
ANGELA W FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 PERL RD, RICHMOND, VA 23230-2007
(804) 447-2139
(804) 447-2156
Mailing address
3126 W CARY ST APT 262, RICHMOND, VA 23221-3504
(804) 908-1115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732001118
VA
101YM0800X
Mental Health Counselor
0733007192
VA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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