Provider Information for 1326770041
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RAYVONNE C HOOD LPC
Sex: Male
NPI: 1326770041
Last Updated: 2022-06-30
Certification Date: 2022-06-30
Certification Date: 2022-06-30
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1326770041 | ||||||||||||||
| Enumeration Date | 2022-06-30 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 58 CLAYTON CT WEYERS CAVE, VA 24486-2456 United States Phone: 252-375-1066 | Fax: | ||||||||||||||
| Primary Practice Address | 4229 LAFAYETTE CENTER DR STE 1675 CHANTILLY, VA 20151-1270 United States Phone: 855-326-4673 | Fax: | ||||||||||||||
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