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Organization
FAMILY AND ADOLESCENT SERVICES
Active
Organization
FAMILY AND ADOLESCENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EUGENE WOODSON ED. D. (EXECUTIVE DIRECTOR)
(804) 521-4450
Entity
Organization
Contact information
Practice address
501 E FRANKLIN ST STE 414, RICHMOND, VA 23219-2330
(804) 521-4450
(804) 521-4071
Mailing address
501 E FRANKLIN ST STE 414, RICHMOND, VA 23219-2330
(804) 521-4450
(804) 521-4071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124225933
—
VA
05
—
1508199241
—
VA
05
—
1720392319
—
VA
Enumeration date
02/03/2012
Last updated
02/03/2012
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