Organization
CREATIVE ALTERNATIVE FOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GAIL JOHNSON-SION LPC (EXECUTIVE CLINICAL DIRECTOR /PRESID)
(757) 729-4241
Entity
Organization
Contact information
Practice address
3500 VIRGINIA BEACH BLVD STE 216, VIRGINIA BEACH, VA 23452-4445
(757) 729-4241
(757) 460-5737
Mailing address
3500 VIRGINIA BEACH BLVD STE 216, VIRGINIA BEACH, VA 23452-4445
(757) 729-4241
(757) 460-5737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003104
VA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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