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Organization
LIVING WATERS THERAPEUTIC ALLIANCE INC
Active
Organization
LIVING WATERS THERAPEUTIC ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENA JUDITH CATHERINE CORRELL LPC, LCMHC (DIRECTOR)
(757) 405-7519
Entity
Organization
Contact information
Practice address
2570 RIVER WATCH DR, SUFFOLK, VA 23434-8669
(757) 270-3976
Mailing address
2570 RIVER WATCH DR, SUFFOLK, VA 23434-8669
(757) 270-3976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
12/02/2024
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