| Canvas Counseling And Consulting Llc | |
|
3575 Bridge Rd Ste 8 # 201 Suffolk VA 23435 | |
| (757) 632-7107 | |
| Not Available |
| Full Name | Canvas Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3575 Bridge Rd, Suffolk, Virginia |
| Authorized Official Name and Position | Crystal Kittrell-johnson (OWNER) |
| Authorized Official Contact | 7576327107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canvas Counseling And Consulting Llc 3575 Bridge Rd Ste 8 #201 Suffolk VA 23435 Ph: () - | Canvas Counseling And Consulting Llc 3575 Bridge Rd Ste 8 # 201 Suffolk VA 23435 Ph: (757) 632-7107 |
| NPI Number | 1790483055 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790483055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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