Individual
EVELYN V. WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 E WYTHE ST, PETERSBURG, VA 23803
(804) 733-5383
(804) 733-5384
Mailing address
9313 DABNEY DR, SUTHERLAND, VA 23885-9277
(804) 862-3432
(804) 733-5384
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326766
MHN
VA
Enumeration date
12/19/2006
Last updated
07/09/2007
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