Individual
CHARLIS MADONNA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13354 MIDLOTHIAN TPKE STE 200, MIDLOTHIAN, VA 23113-4258
(804) 277-9355
(804) 210-2443
Mailing address
1566 S LABURNUM AVE, HENRICO, VA 23231-5802
(804) 238-1648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014877
VA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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