Organization
HOLISTIC APPROACH TO OBESITY PREVENTION AND EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE CORDOR (CEO)
(804) 218-5575
Entity
Organization
Contact information
Practice address
249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
(804) 218-5575
Mailing address
249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
(804) 218-5575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
0810000972
VA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
VA
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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