Lakeside Center

NPI #1043697832 in Yorktown, Virginia

Provider Information

NPI Number: 1043697832
Entity Type: Organization
Organization Name: Lakeside Center
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 30, 2015
Last Updated: Apr 30, 2015

Practice Location

Address: 6515 GEORGE WASHINGTON MEM HWY
Address 2: # 101
City: Yorktown
State: Virginia
ZIP Code: 23692-2182
Phone: (757) 714-1838

Authorized Official

Name: LINDA LEITCH-ALFORD, LPC
Title: OWNER
Phone: (757) 874-0468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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