Organization
6 C'S TO SUCCESS LLC
Active
Other names
6 C's To Success Counseling & Wellness Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA LOUISE JOHNSON LPC (DIRECTOR)
(434) 738-1482
Entity
Organization
Contact information
Practice address
711 BRACEY PL, LA CROSSE, VA 23950-2613
(434) 738-1482
(888) 722-4701
Mailing address
711 BRACEY PL, LA CROSSE, VA 23950-2613
(434) 738-1482
(888) 722-4701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008125
LICENSE PROFESSIONAL COUNSELOR
VA
01
—
14007323
CAQH
—
05
—
2019022734
—
VA
Enumeration date
01/21/2019
Last updated
02/04/2019
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