The Jericho Supportive Services Group | |
1205 Poindexter St Chesapeake VA 23324-2426 | |
(188) 866-0441 | |
Not Available |
Full Name | The Jericho Supportive Services Group |
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Speciality | Counselor - School |
Location | 1205 Poindexter St, Chesapeake, Virginia |
Authorized Official Name and Position | Cynthia Yevette Davis (OWNER COUNSELOR) |
Authorized Official Contact | 7578028058 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Jericho Supportive Services Group 1205 Poindexter St Chesapeake VA 23324-2426 Ph: (188) 866-0441 | The Jericho Supportive Services Group 1205 Poindexter St Chesapeake VA 23324-2426 Ph: (188) 866-0441 |
NPI Number | 1164830394 |
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Provider Enumeration Date | 07/31/2014 |
Last Update Date | 07/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164830394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | PPS-0603422 (Virginia) | Primary |
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