Organization
ISSACHAR K TIGRE CHINNERY FOUNDATION-VICTIMS UNITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADETTE PATRICIA GONSALVES (EXECUTIVE DIRECTOR)
(340) 642-5204
Entity
Organization
Contact information
Practice address
#19 NORRE GADE, STE 3, ST. THOMAS, VI 00802
(340) 642-5204
Mailing address
6313 ESTATE WINTBERG, ST THOMAS, VI 00802-3463
(340) 642-5204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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