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Organization
YOUR PATH COUNSELING CENTER LLC
Active
Organization
YOUR PATH COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDERIS YAZMIRA MARTINEZ-CUNION LPC (LICENSED PROFESSIONAL COUNSELOR)
(804) 798-5327
Entity
Organization
Contact information
Practice address
104 N RAILROAD AVE STE A, ASHLAND, VA 23005-1528
(804) 798-5327
Mailing address
104 N RAILROAD AVE STE A, ASHLAND, VA 23005-1528
(804) 798-5327
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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