| At Present I Am The Sole Employee Working As An Independent Contractor | |
|
3200 Ransom Hills Rd North Chesterfield VA 23237-3571 | |
| (804) 502-3723 | |
| Not Available |
| Full Name | At Present I Am The Sole Employee Working As An Independent Contractor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3200 Ransom Hills Rd, North Chesterfield, Virginia |
| Authorized Official Name and Position | Trevene Gordon (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8045023723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Present I Am The Sole Employee Working As An Independent Contractor 3200 Ransom Hills Rd North Chesterfield VA 23237-3571 Ph: (804) 502-3723 | At Present I Am The Sole Employee Working As An Independent Contractor 3200 Ransom Hills Rd North Chesterfield VA 23237-3571 Ph: (804) 502-3723 |
| NPI Number | 1013698737 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013698737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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