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Organization
LIFE SOURCE COUNSELING CENTER, INC
Active
Organization
LIFE SOURCE COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL ROCHELLE JONES LCSW (OWNER)
(301) 523-3642
Entity
Organization
Contact information
Practice address
3516 PLANK RD STE 5C, FREDERICKSBURG, VA 22407-6861
(540) 786-3049
(540) 301-2403
Mailing address
3516 PLANK RD STE 5C, FREDERICKSBURG, VA 22407-6861
(301) 523-3642
(540) 301-2403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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