Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 0904006102 | VA |
NPI | 1003092339 |
---|---|
Provider Name | Mrs. Hope L. Helton |
First Address | Petersburg, VA 23803-3230 |
Second Address | Richmond, VA 23236-3657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 16/01/2008 |