Organization
AVENUE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE JEROLDINE LEON BLACK LCSW (OWNER/CLINICIAN)
(540) 219-3247
Entity
Organization
Contact information
Practice address
6216 SCOTTSVILLE RD, JEFFERSONTON, VA 22724-2342
(540) 219-3247
Mailing address
6216 SCOTTSVILLE RD, JEFFERSONTON, VA 22724-2342
(540) 219-3247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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