| 6 C's To Success Counseling & Wellness Services | |
|
711 Bracey Pl La Crosse VA 23950-2613 | |
| (434) 738-1482 | |
| (888) 722-4701 |
| Full Name | 6 C's To Success Counseling & Wellness Services |
|---|---|
| Speciality | Counselor |
| Location | 711 Bracey Pl, La Crosse, Virginia |
| Authorized Official Name and Position | Tina Louise Johnson (DIRECTOR) |
| Authorized Official Contact | 4347381482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 6 C's To Success Counseling & Wellness Services 711 Bracey Pl La Crosse VA 23950-2613 Ph: (434) 738-1482 | 6 C's To Success Counseling & Wellness Services 711 Bracey Pl La Crosse VA 23950-2613 Ph: (434) 738-1482 |
| NPI Number | 1427522606 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427522606 | NPI | - | NPPES |
| 14007323 | Other | CAQH | |
| 2019022734 | Medicaid | VA | |
| 0701008125 | Other | VA | LICENSE PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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