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Organization
FAMILY MAINTENANCE COUNSELING GROUP, INC.
Active
Organization
FAMILY MAINTENANCE COUNSELING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC INGRAM B.A., Q.M.H.P. (PRESIDENT)
(804) 440-8310
Entity
Organization
Contact information
Practice address
3900 CHAMBERLAYNE AVE, RICHMOND, VA 23227-4202
(804) 440-8310
(804) 515-7703
Mailing address
3900 CHAMBERLAYNE AVE, RICHMOND, VA 23227-4202
(804) 440-8310
(804) 515-7703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79405001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010314542
—
VA
Enumeration date
09/30/2006
Last updated
09/11/2009
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