Organization
OWL CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BUCKLEW (CEO)
(804) 255-9538
Entity
Organization
Contact information
Practice address
9023 FOREST HILL AVE STE 2A, NORTH CHESTERFIELD, VA 23235-3054
(804) 255-9341
Mailing address
3819 E WEYBURN RD, RICHMOND, VA 23235-2037
(607) 262-0458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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