Organization
COMMONWEALTH BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCAL THEBAUD (DIRECTOR)
(804) 721-1720
Entity
Organization
Contact information
Practice address
13356 MIDLOTHIAN TPKE, SUITE 202, MIDLOTHIAN, VA 23113-4210
(804) 721-1720
(804) 214-2177
Mailing address
PO BOX 73702, NORTH CHESTERFIELD, VA 23235-8045
(804) 721-1720
(804) 214-2177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004809
VA
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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