Individual
MARY SUSAN CHITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
311 S MONROE AVE, COVINGTON, VA 24426-1635
(540) 965-2100
(540) 965-2105
Mailing address
205 E HAWTHORNE ST, COVINGTON, VA 24426-1620
(540) 965-6135
(540) 965-6371
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008711
VA
Other
Enumeration date
02/20/2020
Last updated
01/15/2025
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