Organization
FIRESIDE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GREGORY JAMES LCSW (OWNER)
(520) 977-9870
Entity
Organization
Contact information
Practice address
7300 HANOVER GREEN DR STE 300E, MECHANICSVILLE, VA 23111-1705
(804) 220-0036
(804) 597-0114
Mailing address
7300 HANOVER GREEN DR STE 300E, MECHANICSVILLE, VA 23111-1705
(804) 220-0036
(804) 597-0114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009037
VA
Other
Enumeration date
10/25/2017
Last updated
06/15/2023
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