Individual
LAURA PETERS CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112
(804) 744-1114
(804) 893-3721
Mailing address
3012 PIEDMONT AVE, SOUTH CHESTERFIELD, VA 23834-5717
(804) 840-8457
(804) 893-3721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007696
DEPARTMENT OF HEALTH PROFESSIONALS
VA
Enumeration date
06/19/2018
Last updated
07/05/2018
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