Organization
COLLABORATIVE POINT COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORCILLE M JERNIGAN LPC, LSATP, CRC (MANAGING OWNER)
(804) 479-2862
Entity
Organization
Contact information
Practice address
10509 PATTERSON AVE # 42302, HENRICO, VA 23238-5103
(804) 537-0170
Mailing address
PO BOX 42302, HENRICO, VA 23242-2302
(804) 537-0170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710467790
INDIVIDUAL NPI
VA
Enumeration date
11/03/2020
Last updated
11/03/2020
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