Organization
ALPHA COUNSELING ASSO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTY MONTGOMERY-JENNINGS MA LCSW (CEO PRESIDENT)
(804) 598-9105
Entity
Organization
Contact information
Practice address
2142 PLAINVIEW CENTER, POWHATAN, VA 23139
(804) 598-9105
(804) 598-6379
Mailing address
PO BOX 554, POWHATAN, VA 23139
(804) 598-9105
(804) 598-6379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904005352
VA
Other
Enumeration date
09/26/2006
Last updated
07/16/2008
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