Organization
CREATIVE COUNSELING STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN HOLMES LPC (DIRECTOR)
(703) 507-6866
Entity
Organization
Contact information
Practice address
385 GARRISONVILLE RD, SUITE 112, STAFFORD, VA 22554-1545
(703) 507-6866
Mailing address
385 GARRISONVILLE ROAD, SUITE 112, STAFFORD, VA 22554
(703) 507-6866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002736
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659419067
—
VA
Enumeration date
04/09/2010
Last updated
04/09/2010
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