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Organization
THE COUNSELING CENTER
Active
Organization
THE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA L HAVENS LCSW (OWNER)
(276) 979-0447
Entity
Organization
Contact information
Practice address
102 CHURCH ST, TAZEWELL, VA 24651-1302
(276) 979-0447
(276) 979-0480
Mailing address
102 CHURCH ST, TAZEWELL, VA 24651-1302
(276) 979-0447
(276) 979-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01843900
MAGELLAN
VA
01
—
171897
COMPSYCH
VA
01
—
257837
MTN. STATE BC/BS
VA
01
—
DA0938
PALMETTO GBA
VA
Enumeration date
08/18/2006
Last updated
08/22/2020
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