Organization
CHILD AND FAMILY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MICHAEL WALTERS SR. LCSW (PRESIDENT)
(804) 458-6369
Entity
Organization
Contact information
Practice address
211 N 5TH AVE, HOPEWELL, VA 23860-2509
(804) 458-6369
(804) 862-5869
Mailing address
211 N 5TH AVE, HOPEWELL, VA 23860-2509
(804) 458-6369
(804) 862-5869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044641
BLUE CROSS
VA
05
—
8902631
—
VA
Enumeration date
07/11/2006
Last updated
08/22/2020
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