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Organization

GENESIS COUNSELING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMERON ASHWORTH (VP OF OPERATIONS)
(757) 827-7707
Entity
Organization

Contact information

Practice address
2705 TAYLOR RD, CHESAPEAKE, VA 23321-2207
(757) 827-7707
(757) 838-2573
Mailing address
2202 EXECUTIVE DR, SUITE C, HAMPTON, VA 23666-6604
(757) 827-7707
(757) 838-2573

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002090
VA

Other

Enumeration date
08/07/2014
Last updated
01/29/2024
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