Organization
FULL LIFE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER TEETS LPC (OWNER)
(303) 718-6482
Entity
Organization
Contact information
Practice address
618 FOREST ST STE 2, CHARLOTTESVILLE, VA 22903-5267
(303) 718-6482
Mailing address
618 FOREST ST STE 2, CHARLOTTESVILLE, VA 22903-5267
(303) 718-6482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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