Organization
AVAIL OUTPATIENT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWNRELL DENISE BLACKWELL (OWNER)
(804) 214-2260
Entity
Organization
Contact information
Practice address
6523 CENTRALIA RD, CHESTERFIELD, VA 23832-6587
(804) 214-2260
Mailing address
901 LIVERPOOL CIR, APT 202, CHESTER, VA 23836-2729
(804) 586-5679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008953
VA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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