DETRICH OMAR ANDERSON

RICHMOND, VA
NPI1114731478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0704013489)
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
DETRICH OMAR ANDERSON LMHP-R
4200 LIPES CT # A
RICHMOND, VA 23223-1182
Phone number: 804-869-9101
Mailing Address
DETRICH OMAR ANDERSON LMHP-R
4200 LIPES CT
RICHMOND, VA 23223-1182
Phone number: 804-869-9101
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