Organization
GREEN GATES COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GRUBB (OWNER)
(757) 485-9349
Entity
Organization
Contact information
Practice address
4335 SUNRAY AVE, CHESAPEAKE, VA 23321-2625
(757) 485-9349
(757) 465-3639
Mailing address
4335 SUNRAY AVE, CHESAPEAKE, VA 23321-2625
(757) 485-9349
(757) 465-3639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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