| Community Counseling Resources | |
|
600 Crawford St Ste 220 Portsmouth VA 23704-3820 | |
| (757) 488-4797 | |
| (757) 488-4716 |
| Full Name | Community Counseling Resources |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Crawford St Ste 220, Portsmouth, Virginia |
| Authorized Official Name and Position | John Maddox (N/A) |
| Authorized Official Contact | 7574884797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Resources 600 Crawford St Ste 220 Portsmouth VA 23704-3820 Ph: (757) 488-4797 | Community Counseling Resources 600 Crawford St Ste 220 Portsmouth VA 23704-3820 Ph: (757) 488-4797 |
| NPI Number | 1477856094 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477856094 | NPI | - | NPPES |
| 1821435694 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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