Organization
COMMON HEALTH COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK KELLY (CEO)
(804) 730-1932
Entity
Organization
Contact information
Practice address
10431 PATTERSON AVE # C-21, HENRICO, VA 23238-5101
(804) 590-4852
(804) 730-1953
Mailing address
10431 PATTERSON AVE # C-21, HENRICO, VA 23238-5101
(804) 730-1932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
12/09/2024
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