Organization
KREATIVE COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYDNEY A VANLOW JR. (OWNER)
(804) 933-2082
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E, SUITE 334/OFFICE 321, HAMPTON, VA 23666-2071
(804) 933-2082
Mailing address
4410 EAST CLAIBORNE SQUARE, SUITE 334/OFFICE 321, HAMPTON, VA 23666
(804) 933-2082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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