Casselton Consultants | |
4525 W Hundred Rd Chester VA 23831-1741 | |
(804) 778-7645 | |
(804) 778-7686 |
Full Name | Casselton Consultants |
---|---|
Speciality | Community/behavioral Health |
Location | 4525 W Hundred Rd, Chester, Virginia |
Authorized Official Name and Position | Revardo Pretlow (ADMINISTRATOR/OWNER) |
Authorized Official Contact | 8047787685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casselton Consultants 4525 W Hundred Rd Chester VA 23831-1741 Ph: () - | Casselton Consultants 4525 W Hundred Rd Chester VA 23831-1741 Ph: (804) 778-7645 |
NPI Number | 1760013163 |
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Provider Enumeration Date | 02/04/2020 |
Last Update Date | 02/09/2023 |
Certification Date | 02/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760013163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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