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Organization
AGAPE MIND AND BODY WELLNESS
Active
Organization
AGAPE MIND AND BODY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENEISS PATIENCE ONYANGO LPC (OWNER)
(804) 461-6844
Entity
Organization
Contact information
Practice address
7806 WATERMAN LN, CHESTERFIELD, VA 23832-9208
(804) 461-6844
Mailing address
7806 WATERMAN LN, CHESTERFIELD, VA 23832-9208
(804) 461-6844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004699
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110858653
—
VA
Enumeration date
10/27/2015
Last updated
10/27/2015
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