Assessment & Counseling Of Williamsburg Plc | |
1101 Professional Dr Ste C Williamsburg VA 23185-3301 | |
(757) 941-8182 | |
(757) 500-0134 |
Full Name | Assessment & Counseling Of Williamsburg Plc |
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Speciality | Counselor - Professional |
Location | 1101 Professional Dr Ste C, Williamsburg, Virginia |
Authorized Official Name and Position | Brent Christian Peterson (PRESIDENT) |
Authorized Official Contact | 7572844554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Assessment & Counseling Of Williamsburg Plc 113 Rudder Ct Williamsburg VA 23185-5288 Ph: (757) 284-4554 | Assessment & Counseling Of Williamsburg Plc 1101 Professional Dr Ste C Williamsburg VA 23185-3301 Ph: (757) 941-8182 |
NPI Number | 1134727522 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 01/28/2021 |
Certification Date | 01/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134727522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
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