Organization
EVERGREEN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTAL R JENKINS LCSW (OWNER)
(804) 621-5572
Entity
Organization
Contact information
Practice address
4318 OLD HUNDRED RD STE C, CHESTER, VA 23831-4231
(804) 621-5572
(804) 821-1253
Mailing address
4101 SUNSET AVE, CHESTER, VA 23831-6616
(804) 821-1253
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
01/24/2023
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