Organization
COUNSELING AND ADVOCACY ASSC.
Active
Organization
COUNSELING AND ADVOCACY ASSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY DEMARZIO LCSW (OWN/PROGRAM DIRECTOR)
(804) 426-1419
Entity
Organization
Contact information
Practice address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112
(804) 744-1114
(804) 893-3721
Mailing address
10128 HULL STREET RD, MIDLOTHIAN, VA 23112-3300
(804) 744-1114
(804) 893-3721
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1175--05-001
VA
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
1175-05-01
VA
Other
Enumeration date
12/08/2008
Last updated
07/05/2018
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