person
Peyton Michael Lassiter, LPC
Professional Counselor in Petersburg, Virginia
NPI 1306626452

Peyton Michael Lassiter is a Professional Counselor based in Midlothian, VA and is specialized in Professional. Peyton Michael Lassiter practices in Petersburg, VA and has the professional credentials of LPC. The NPI Number for Peyton Michael Lassiter is 1306626452 and holds a License No. 0701011996 (Virginia).

The current practice location address for Peyton Michael Lassiter is 200 Medical Park Blvd, Petersburg, VA and can be reached out via phone at 804-765-6823.

Location: 200 Medical Park Blvd, Petersburg, VA, 23114-6570
person
Provider Profile Details
NPI Number
1306626452
Provider Name
Peyton Michael Lassiter
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
200 Medical Park Blvd, Petersburg, VA, 23114-6570
Phone Number
804-765-6823
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Medical Park Blvd
City
State
Zip
23805-9274
Phone Number
804-765-6823
Fax Number
person
Provider Business Mailing Address Details
Address
200 Medical Park Blvd
City
State
Zip
23805-9274
Phone Number
804-765-6823
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701011996 (Virginia)
Definition
Definition to come...
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