Organization
CNC CLINICAL SERVICES DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURNETTE S SALES (EXECUTIVE DIRECTOR)
(804) 743-2922
Entity
Organization
Contact information
Practice address
3724 COTTRELL RD, RICHMOND, VA 23234-2934
(804) 743-2922
Mailing address
3724 COTTRELL RD, RICHMOND, VA 23234-2934
(804) 743-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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