Organization
COMMONWEALTH CLINICAL & CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD CARTER (CEO)
(804) 922-1189
Entity
Organization
Contact information
Practice address
3122 W MARSHALL ST, SUITE 202, RICHMOND, VA 23230-4726
(804) 447-2729
Mailing address
8021 HEAVENLY VALLEY DR, RICHMOND, VA 23231-8955
(804) 922-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
04/13/2011
Last updated
12/21/2012
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