Creative Counseling Studio, Llc | |
385 Garrisonville Rd Suite 112 Stafford VA 22554-1545 | |
(703) 507-6866 | |
Not Available |
Full Name | Creative Counseling Studio, Llc |
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Speciality | Counselor - Professional |
Location | 385 Garrisonville Rd, Stafford, Virginia |
Authorized Official Name and Position | Allen Holmes (DIRECTOR) |
Authorized Official Contact | 7035076866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creative Counseling Studio, Llc 385 Garrisonville Road Suite 112 Stafford VA 22554 Ph: (703) 507-6866 | Creative Counseling Studio, Llc 385 Garrisonville Rd Suite 112 Stafford VA 22554-1545 Ph: (703) 507-6866 |
NPI Number | 1619293024 |
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Provider Enumeration Date | 04/09/2010 |
Last Update Date | 04/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619293024 | NPI | - | NPPES |
1659419067 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701002736 (Virginia) | Primary |
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