Individual
CLEOPHUS CHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 EISENHOWER AVE STE 310, ALEXANDRIA, VA 22314-4567
(844) 947-3326
Mailing address
7127 RICHMOND HWY APT 117, ALEXANDRIA, VA 22306-7127
(302) 299-2023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015574
VA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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