Individual
MRS. ALTA ROSETTA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 POPLAR HILL RD STE G, CHESAPEAKE, VA 23321-5523
(757) 214-5898
Mailing address
5109 QUEEN ST, CHESAPEAKE, VA 23321-1543
(757) 214-5898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013748
VA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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