Organization
THE MULE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINIQUA RADFORD MA, MS, CSAC, LPC (OWNER AND PROFESSIONAL COUNSELOR)
(757) 214-3159
Entity
Organization
Contact information
Practice address
840 JUNIPER CRES STE 112, CHESAPEAKE, VA 23320-2628
(757) 762-1831
Mailing address
2005 OLD GREENBRIER RD STE 102, CHESAPEAKE, VA 23320-2649
(757) 790-5916
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/02/2019
Last updated
07/18/2022
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