Organization
EDACLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WHITE (OWNER)
(804) 585-4988
Entity
Organization
Contact information
Practice address
8104 ELM DR STE A, MECHANICSVILLE, VA 23111-1106
(804) 585-4988
Mailing address
6407 BAREBACK TER, NORTH CHESTERFIELD, VA 23234-4196
(804) 585-4988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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