Individual
DR. CHANTELLE ELAM BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
4860 COX RD STE 200, GLEN ALLEN, VA 23060-9248
(804) 747-1922
(804) 747-6182
Mailing address
4860 COX RD STE 200, GLEN ALLEN, VA 23060-9248
(804) 747-1922
(804) 747-6182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008688
VA LICENSE NUMBER
VA
Enumeration date
03/19/2020
Last updated
10/12/2022
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