Organization
LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHARDSON (CREDENTIALING)
(757) 907-2567
Entity
Organization
Contact information
Practice address
1545 CROSSWAYS BLVD, CHESAPEAKE, VA 23320-0205
(757) 309-1405
Mailing address
1545 CROSSWAYS BLVD, CHESAPEAKE, VA 23320-0205
(757) 309-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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