Organization · Type 2 NPI

Angela Revercomb LPC LLC

Professional Counselor · Henrico, VA

NPI number 1386405645 Active

Practice location

3111 Northside Ave Ste 375
Henrico, VA 23228-5441

Call (804) 955-8617 Map

Mailing address

7901 Anoka Rd
Richmond, VA 23229-3305

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed

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About NPI 1386405645

Angela Revercomb LPC LLC's National Provider Identifier is 1386405645, issued on Jan 23, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Henrico, VA. The record was last updated on Jan 23, 2024.