| Center For Wise Counsel, Llc | |
|
12849 Galveston Ct # 120 Manassas VA 20112-8676 | |
| (571) 545-0592 | |
| (855) 955-1268 |
| Full Name | Center For Wise Counsel, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12849 Galveston Ct # 120, Manassas, Virginia |
| Authorized Official Name and Position | Sherry A C Jackson (CEO) |
| Authorized Official Contact | 5715450592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Wise Counsel, Llc 12849 Galveston Ct # 120 Manassas VA 20112-8676 Ph: (571) 545-0592 | Center For Wise Counsel, Llc 12849 Galveston Ct # 120 Manassas VA 20112-8676 Ph: (571) 545-0592 |
| NPI Number | 1538852462 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538852462 | NPI | - | NPPES |
| 1225094451 | Medicaid | VA | |
| 1538852462 | Other | NPPES- GROUP NPI | |
| 1902232333 | Other | NPPES- INDIVIDUAL NPI |
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