Organization
CENTRAL VIRGINIA PSYCHOLOGY PLLC
Active
Other names
Central Virginia Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERICK CHILDRESS III PH.D. (MANAGING MEMBER)
(434) 591-0161
Entity
Organization
Contact information
Practice address
174 HUNTING GREEN LN, KENTS STORE, VA 23084-2284
(143) 459-1016
Mailing address
PO BOX 51, KENTS STORE, VA 23084-0051
(464) 591-0161
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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