Organization
CRESCENT COUNSELING & CASEWORK SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY THOMAS MALONE PH.D. (PRESIDENT/CEO)
(757) 431-0105
Entity
Organization
Contact information
Practice address
708 S ROSEMONT RD, SUITE 203, VIRGINIA BEACH, VA 23452-4061
(757) 431-0105
(757) 431-0106
Mailing address
708 S ROSEMONT RD, SUITE 203, VIRGINIA BEACH, VA 23452-4061
(757) 431-0105
(757) 431-0106
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1476
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1476
DBHDS LICENSE
VA
Enumeration date
10/20/2010
Last updated
08/10/2011
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