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Organization
REPLAY COUNSELING CENTER, LLC
Active
Organization
REPLAY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLE R JIGGETTS (PRESIDENT/THERAPIST)
(804) 516-4684
Entity
Organization
Contact information
Practice address
555 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3060
(804) 516-4684
Mailing address
PO BOX 5715, MIDLOTHIAN, VA 23112-0030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007173
VA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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