Organization
BALANCE COUNSELING, LLC
Active
Other names
Balance Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LICIA THOMAS-WAGONER LCSW (OWNER)
(804) 745-2225
Entity
Organization
Contact information
Practice address
9409 HULL STREET RD, SUITE D1, NORTH CHESTERFIELD, VA 23236-1200
(804) 745-2225
(804) 745-2242
Mailing address
9409 HULL STREET RD, SUITE D1, NORTH CHESTERFIELD, VA 23236-1200
(804) 745-2225
(804) 745-2242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006772
VA
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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