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Lastarr Woodson
Mental Health Counselor in Richmond, Virginia
NPI 1861103392

Lastarr Woodson is a Mental Health Counselor based in Richmond, VA and is specialized in Mental Health. Lastarr Woodson practices in Richmond, VA. The NPI Number for Lastarr Woodson is 1861103392 and holds a License No. 5249 (Virginia).

The current practice location address for Lastarr Woodson is 313 E Broad St Ste 42, Richmond, VA and can be reached out via phone at 804-475-8324.

Location: 313 E Broad St Ste 42, Richmond, VA, 23219-1737
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Provider Profile Details
NPI Number
1861103392
Provider Name
Lastarr Woodson
Credential
Provider Entity Type
Individual
Gender
Female
Address
313 E Broad St Ste 42, Richmond, VA, 23219-1737
Phone Number
804-475-8324
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87-4321733 05 VA
institution
Provider Business Practice Location Address Details
Address
313 E Broad St Ste 42
City
State
Zip
23219-1737
Phone Number
804-475-8324
Fax Number
person
Provider Business Mailing Address Details
Address
313 E Broad St Ste 42
City
State
Zip
23219-1737
Phone Number
804-475-8324
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5249 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5249 (Virginia)
Definition
Definition to come...
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