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Organization
WELLCORP INC
Active
Organization
WELLCORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICHELLE ARNETTE BURNEY LCSW, CSAC, CAADC (PRINCIPAL OWNER)
(757) 332-1065
Entity
Organization
Contact information
Practice address
10306 EATON PL, FAIRFAX, VA 22030-2201
(757) 332-1065
Mailing address
4138 SEAFARER AVE, NORFOLK, VA 23518-3584
(757) 332-1065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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