person
Imoni Malika Patrice Woodberry, LPC
Mental Health Counselor in Petersburg, Virginia
NPI 1528765500

Imoni Malika Patrice Woodberry is a Mental Health Counselor based in North Chesterfield, VA and is specialized in Mental Health. Imoni Malika Patrice Woodberry practices in Petersburg, VA and has the professional credentials of LPC. The NPI Number for Imoni Malika Patrice Woodberry is 1528765500 and holds a License No. 0701012201 (Virginia).

The current practice location address for Imoni Malika Patrice Woodberry is 20 W Bank St, Petersburg, VA and can be reached out via phone at 804-862-8000.

Location: 20 W Bank St, Petersburg, VA, 23234-5709
person
Provider Profile Details
NPI Number
1528765500
Provider Name
Imoni Malika Patrice Woodberry
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
20 W Bank St, Petersburg, VA, 23234-5709
Phone Number
804-862-8000
Fax Number
Provider Enumeration Date
02/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 W Bank St
City
State
Zip
23803-3279
Phone Number
804-862-8000
Fax Number
person
Provider Business Mailing Address Details
Address
20 W Bank St
City
State
Zip
23803-3279
Phone Number
804-862-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701012201 (Virginia)
Definition
Definition to come...
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