| Petra Counseling Services, Llc | |
|
2124 Richmond Hwy Ste 301 Stafford VA 22554-7264 | |
| (540) 701-5312 | |
| Not Available |
| Full Name | Petra Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2124 Richmond Hwy Ste 301, Stafford, Virginia |
| Authorized Official Name and Position | Danielle Johnson (OWNER) |
| Authorized Official Contact | 5407015312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petra Counseling Services, Llc 2124 Richmond Hwy Ste 301 Stafford VA 22554-7264 Ph: (540) 701-5312 | Petra Counseling Services, Llc 2124 Richmond Hwy Ste 301 Stafford VA 22554-7264 Ph: (540) 701-5312 |
| NPI Number | 1508691155 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508691155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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