Organization
BRIDGEWATER COUNSELING SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH A ABRISZ (MANAGER)
(804) 986-2180
Entity
Organization
Contact information
Practice address
100 S MAIN ST, BRIDGEWATER, VA 22812-1132
(540) 828-3663
(540) 828-2322
Mailing address
100 S MAIN ST, BRIDGEWATER, VA 22812-1132
(540) 828-3663
(540) 828-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0812000382
VA
1041C0700X
Clinical Social Worker
Primary
0904002990
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008954585
—
VA
01
—
462838
ANTHEM
VA
01
—
O86454M
OPTIMA
VA
Enumeration date
07/28/2009
Last updated
07/28/2009
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