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Organization

DANVILLE PITTSYLVANIA COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES F BEBEAU LPC (DIRECTOR OF MENTAL HEALTH)
(434) 793-4931
Entity
Organization

Contact information

Practice address
425 HAIRSTON ST, DANVILLE, VA 24540-4133
(434) 793-4931
(434) 799-3100
Mailing address
425 HAIRSTON ST, DANVILLE, VA 24540-4133
(434) 793-4931
(434) 799-3100

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005264
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010135419
VA
01
175108
BLUE CROSS BLUE SHIELD VA
VA
01
P00195293
RAILROAD MEDICARE
VA
Enumeration date
06/04/2006
Last updated
08/22/2020
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