Alternative Counseling Group, Llc | |
4525 W Hundred Rd Chester VA 23831-1741 | |
(804) 586-1091 | |
Not Available |
Full Name | Alternative Counseling Group, Llc |
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Speciality | Community/behavioral Health |
Location | 4525 W Hundred Rd, Chester, Virginia |
Authorized Official Name and Position | Michael Anthony Thomas (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8045861091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alternative Counseling Group, Llc 4525 W Hundred Rd Chester VA 23831-1741 Ph: (804) 586-1091 | Alternative Counseling Group, Llc 4525 W Hundred Rd Chester VA 23831-1741 Ph: (804) 586-1091 |
NPI Number | 1295917359 |
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Provider Enumeration Date | 11/30/2007 |
Last Update Date | 11/30/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295917359 | NPI | - | NPPES |
0101111692 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 78605001 (Virginia) | Primary |
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