| Family Of Choice Llc | |
|
8516 Thomas Jefferson Way Gloucester VA 23061-5485 | |
| (757) 870-7763 | |
| Not Available |
| Full Name | Family Of Choice Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8516 Thomas Jefferson Way, Gloucester, Virginia |
| Authorized Official Name and Position | Danielle Carson (OWNER) |
| Authorized Official Contact | 7578707763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Of Choice Llc 8516 Thomas Jefferson Way Gloucester VA 23061-5485 Ph: (757) 870-7763 | Family Of Choice Llc 8516 Thomas Jefferson Way Gloucester VA 23061-5485 Ph: (757) 870-7763 |
| NPI Number | 1386357523 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386357523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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