Devil Dog Ranch | |
4811 Waymacks Rd Charles City VA 23030-2422 | |
(804) 921-4962 | |
Not Available |
Full Name | Devil Dog Ranch |
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Speciality | Marriage & Family Therapist |
Location | 4811 Waymacks Rd, Charles City, Virginia |
Authorized Official Name and Position | Tina Silva (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8049214962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Devil Dog Ranch 4811 Waymacks Rd Charles City VA 23030-2422 Ph: (804) 921-4962 | Devil Dog Ranch 4811 Waymacks Rd Charles City VA 23030-2422 Ph: (804) 921-4962 |
NPI Number | 1619797032 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 10/10/2024 |
Certification Date | 10/10/2024 |
Identifier | Type | State | Issuer |
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1619797032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |