Organization
OLD TOWNE COUNSELING SERVICES, LLC
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JERI DICKINSON LEWIS LPC (DIRECTOR)
(804) 398-8401
Entity
Organization
Contact information
Practice address
7293 SHADY GROVE RD, MECHANICSVILLE, VA 23111-2129
(804) 398-8401
(866) 499-8549
Mailing address
4197 ROCKHILL RD, MECHANICSVILLE, VA 23111-6903
(804) 398-8401
(866) 499-8549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002806
VA
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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