Organization
PARTNERS IN COVENANT AGREEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DEION COURTNEY LPC (CLINICIAN)
(434) 218-3011
Entity
Organization
Contact information
Practice address
208 LANCASTER GATE DR APT 104, MIDLOTHIAN, VA 23113-6885
(434) 218-3011
Mailing address
208 LANCASTER GATE DR APT 104, MIDLOTHIAN, VA 23113-6885
(434) 218-3011
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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