Most Relevant Information
Provider Data
| NPI Number: | 1003363326 |
| Provider Name: | CHARITA THREATT LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 93535 |
Most Important Dates
| Enumeration Date: | 09/02/2016 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
105 HOLLY HILL DIVE
PETERSBURG
VA
23805
Practice Location Phone/Fax
| Phone: | 8047338847 |
| Fax: |
Provider Mailing Location
105 HOLLY HILL DIVE
PETERSBURG
VA
23805
Provider Mailing Phone/Fax
| Phone: | 8047338847 |
| Fax: |