Individual
MRS. ALLISON P REVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5213 HICKORY PARK DRIVE, STE A, GLEN ALLEN, VA 23059
(804) 237-8030
(804) 237-8028
Mailing address
5213 HICKORY PARK DRIVE, STE A, GLEN ALLEN, VA 23059
(804) 237-8030
(804) 730-8028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001651
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031547
VALUE OPTIONS
VA
01
—
147178
ANTHEM BCBS
VA
01
—
2080448
CIGNA
VA
Enumeration date
08/16/2006
Last updated
07/08/2007
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