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Organization

AGAPE MIND AND BODY WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENEISS PATIENCE ONYANGO LPC (OWNER)
(804) 461-6844
Entity
Organization

Contact information

Practice address
7806 WATERMAN LN, CHESTERFIELD, VA 23832-9208
(804) 461-6844
Mailing address
7806 WATERMAN LN, CHESTERFIELD, VA 23832-9208
(804) 461-6844

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004699
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110858653
VA
Enumeration date
10/27/2015
Last updated
10/27/2015
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