Organization
ACACIA COUNSELING & CONSULTATIVE SERVICES
Active
Other names
Acacia Counseling and Consultative Ser
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE WILSON LPC (OWNER/OPERATOR)
(434) 414-4555
Entity
Organization
Contact information
Practice address
11221 ARBOR CREEK DR APT 436, RICHMOND, VA 23233-0206
(434) 414-4555
Mailing address
11221 ARBOR CREEK DR APT 436, RICHMOND, VA 23233-0206
(434) 414-4555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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