Organization
ALTERNATIVE COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY THOMAS LPC (EXECUTIVE DIRECTOR)
(804) 586-1091
Entity
Organization
Contact information
Practice address
4525 W HUNDRED RD, CHESTER, VA 23831-1741
(804) 586-1091
Mailing address
4525 W HUNDRED RD, CHESTER, VA 23831-1741
(804) 586-1091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
78605001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101111692
—
VA
Enumeration date
11/30/2007
Last updated
11/30/2007
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