Organization
EXTREME COUNSELING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEATRICE DENISE DELK M.ED. (EXECUTIVE DIRECTOR)
(804) 382-0098
Entity
Organization
Contact information
Practice address
811 LOGAN ST, PETERSBURG, VA 23803-3329
(804) 382-0098
Mailing address
811 LOGAN ST, PETERSBURG, VA 23803-3329
(804) 382-0098
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1394
VA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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