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Organization

LIVING WATERS THERAPEUTIC ALLIANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHARLENA JUDITH CATHERINE CORRELL LPC, LCMHC (DIRECTOR)
(757) 405-7519
Entity
Organization

Contact information

Practice address
2570 RIVER WATCH DR, SUFFOLK, VA 23434-8669
(757) 270-3976
Mailing address
2570 RIVER WATCH DR, SUFFOLK, VA 23434-8669
(757) 270-3976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/14/2023
Last updated
12/02/2024
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