Individual
MR. ALBERT LEONARD HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
10109 KRAUSE RD, SUITE 100, CHESTERFIELD, VA 23832-6501
(804) 751-8644
(804) 751-0648
Mailing address
11018 SAVOY RD, RICHMOND, VA 23235-3546
(804) 330-0770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003592
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147511
ANTHEM HEALTHKEEPERS/PLUS
VA
01
—
O85841M
SENTARA/SOUTHERN HEALTH
VA
Enumeration date
06/30/2006
Last updated
07/08/2007
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