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Organization

COUNTY OF CHESTERFIELD VIRGINIA

Active
Other names
Chesterfield Community Services Board
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBBIE BURCHAM (EXECUTIVE DIRECTOR)
(804) 768-7220
Entity
Organization

Contact information

Practice address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659
Mailing address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
222-07-004
VA
103T00000X
Psychologist
222-07-004
VA
1041C0700X
Clinical Social Worker
222-07-004
VA
106H00000X
Marriage & Family Therapist
222-07-004
VA
2084P0800X
Psychiatry Physician
222-07-004
VA
2084P0804X
Child & Adolescent Psychiatry Physician
222-07-004
VA
2084P0805X
Geriatric Psychiatry Physician
Primary
222-07-004
VA
251S00000X
Community/Behavioral Health Agency
222-02-001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336293000
VA
01
C00801
MEDICARE GROUP PTAN
VA
Enumeration date
01/22/2007
Last updated
08/15/2017
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