Individual
AMY TOLER SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3111 NORTHSIDE AVE STE 101, HENRICO, VA 23228-5441
(804) 617-4361
(855) 710-7582
Mailing address
3111 NORTHSIDE AVE STE 101, HENRICO, VA 23228-5441
(804) 614-7361
(855) 710-7582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005057
VA
Other
Enumeration date
07/09/2012
Last updated
03/14/2019
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