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Organization
FOOTSTEPS COUNSELING CENTER
Active
Organization
FOOTSTEPS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERIE NUCKOLS LCSW (DIRECTOR)
(804) 715-3215
Entity
Organization
Contact information
Practice address
6851 COURTHOUSE RD STE 300, CHESTERFIELD, VA 23832-5308
(804) 715-3215
(804) 715-3233
Mailing address
6851 COURTHOUSE RD STE 300, CHESTERFIELD, VA 23832-5308
(804) 715-3215
(804) 715-3233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198593
—
VA
01
—
738019000
MAGELLAN
VA
Enumeration date
10/25/2006
Last updated
05/05/2014
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