Individual
DEONTAY LAVAR EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 N 25TH ST, RICHMOND, VA 23223-5236
(804) 980-4047
Mailing address
3231 COFER RD APT A3231, RICHMOND, VA 23224-6403
(804) 980-4047
(804) 980-4047
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/20/2025
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