Individual
MS. MIA MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1757 SHERWOOD RD, PETERSBURG, VA 23805-1637
(804) 618-8826
Mailing address
1757 SHERWOOD RD, PETERSBURG, VA 23805-1637
(804) 618-8826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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