Individual
CHARNETTA ROCHELLE WATERS-MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2120 STAPLES MILL RD STE 211, RICHMOND, VA 23230-2917
(757) 907-7609
Mailing address
1246 28TH ST, NEWPORT NEWS, VA 23607-4216
(757) 907-7609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008474
VA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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