Individual
MR. RICHARD CHARLES PRIM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. C.R.P. C.P.S.
Contact information
Practice address
20 W BANK ST, SUITE 6, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 862-8023
Mailing address
20 W BANK ST, SUITE 6, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 862-8023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225094451
—
VA
Enumeration date
11/24/2008
Last updated
11/24/2008
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