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Organization
HOLISTIC APPROACH TO OBESITY PREVENTION AND EDUCATION
Active
Organization
HOLISTIC APPROACH TO OBESITY PREVENTION AND EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE CORDOR (CEO)
(804) 218-5575
Entity
Organization
Contact information
Practice address
249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
(804) 218-5575
Mailing address
249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
(804) 218-5575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
0810000972
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
VA
133VN1004X
Pediatric Nutrition Registered Dietitian
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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