ELMIRA NATISHSA LUCKEY

NORTH CHESTERFIELD, VA
NPI1255849634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710103212)
Enumeration Date2018-01-19
Last Update Date2018-01-19
Business Address
ELMIRA NATISHSA LUCKEY
3117 NEWINGTON CT
NORTH CHESTERFIELD, VA 23224-5737
Phone number: 804-307-9249
Mailing Address
ELMIRA NATISHSA LUCKEY
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249