Organization
CSPACE COUNSELING AND COACHING LLC
Active
Other names
xxx-xx-xxxx
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CROSSON (CEO)
(571) 804-1808
Entity
Organization
Contact information
Practice address
6408 GROVEDALE DR, ALEXANDRIA, VA 22310-2595
(571) 480-1808
Mailing address
547 TWIN LAKES LANE, BUMPASS, VA 23024
(571) 480-1808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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