LAVALLE MCINNIS

CHESTER, VA
NPI1770024580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: VA  0701007039)
Enumeration Date2017-03-13
Last Update Date2024-10-11
Business Address
LAVALLE MCINNIS
2663 OSBORNE RD
CHESTER, VA 23831-2168
Phone number: 804-882-3606
Mailing Address
LAVALLE MCINNIS
1706 ANCHOR LANDING DR
CHESTER, VA 23836-5412
Phone number: 804-882-3605