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Organization
CENTRAL VIRGINIA PSYCHOLOGY PLLC
Active
Organization
CENTRAL VIRGINIA PSYCHOLOGY PLLC
Active
Other names
Central Virginia Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK CHILDRESS III PH.D. (MANAGING MEMBER)
(434) 591-0161
Entity
Organization
Contact information
Practice address
174 HUNTING GREEN LN, KENTS STORE, VA 23084-2284
(143) 459-1016
Mailing address
PO BOX 51, KENTS STORE, VA 23084-0051
(464) 591-0161
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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