Terri Shawanda Wimbush, LPC
Counselor, Professional in Henrico, VA. Individual provider (NPI-1).
NPI number1144802455
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1144802455
- Entity type
- Individual (NPI-1)
- Name
- Terri Shawanda Wimbush
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701010239 | VA | Yes |
Practice location
1100 Bentbrook DrHenrico, VA 23231-4780
Phone 804-252-9558
Mailing address
1100 Bentbrook DrHenrico, VA 23231-4780
Phone 804-252-9558
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