Organization
PROMINENT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA FREDERICK MA, M.ED., QMHP (CEO)
(434) 222-0823
Entity
Organization
Contact information
Practice address
555 SOUTHLAKE BLVD STE D, NORTH CHESTERFIELD, VA 23236-3060
(434) 222-0823
(866) 216-5506
Mailing address
555 SOUTHLAKE BLVD STE D, NORTH CHESTERFIELD, VA 23236-3060
(804) 716-8908
(866) 216-5506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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