Individual provider · Type 1 NPI
Charonta Quinette Pegram
Professional Counselor · Petersburg, VA
NPI number
1548086861
Active
Practice location
1720 West Ln
Petersburg, VA 23803-5312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1548086861
Charonta Quinette Pegram's National Provider Identifier is 1548086861, issued on Dec 2, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Petersburg, VA. The record was last updated on Dec 2, 2024.