Organization
FULL CIRCLE GRIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON DRAKE M. ED., CT (EXECUTIVE DIRECTOR)
(804) 912-2947
Entity
Organization
Contact information
Practice address
10611 PATTERSON AVE STE 201, RICHMOND, VA 23238-4733
(804) 912-2947
Mailing address
10611 PATTERSON AVE STE 201, RICHMOND, VA 23238-4733
(804) 912-2947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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