Antonio O'neil Clinkscales, | |
103 Surrey Dr, Ruther Glen, VA 22546-1035 | |
(804) 994-7998 | |
Not Available |
Full Name | Antonio O'neil Clinkscales |
---|---|
Gender | Male |
Speciality | Counselor - Pastoral |
Location | 103 Surrey Dr, Ruther Glen, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184182719 | NPI | - | NPPES |
81-5150005 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Antonio O'neil Clinkscales, 103 Surrey Dr, Ruther Glen, VA 22546-1035 Ph: (804) 994-7998 | Antonio O'neil Clinkscales, 103 Surrey Dr, Ruther Glen, VA 22546-1035 Ph: (804) 994-7998 |
Mr. Christopher J Coleman, LPC, CSAC, MAC, CCDP Counselor Medicare: Medicare Enrolled Practice Location: 192543 Rogers Clark Boulevard, Ruther Glen, VA 22546 Phone: 804-633-9997 | |
Xenia Scullark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Powder Horn Dr, Ruther Glen, VA 22546 Phone: 240-818-5957 |