Organization
CREATIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY BRUSSEAU (OWNER)
(540) 592-1070
Entity
Organization
Contact information
Practice address
606 S MARKET ST, SALEM, VA 24153-5012
(540) 592-1070
Mailing address
107 BARTLEY DR, SALEM, VA 24153-2623
(540) 592-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008320
VA
Other
Enumeration date
02/14/2018
Last updated
02/19/2018
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