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1504 Santa Rosa Rd Suite 208 Richmond VA 23229-5109 | |
| (804) 288-6272 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1504 Santa Rosa Rd, Richmond, Virginia |
| Authorized Official Name and Position | Jason B Harper (PRESIDENT) |
| Authorized Official Contact | 8042886272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1504 Santa Rosa Rd Suite 208 Richmond VA 23229-5109 Ph: (804) 288-6272 | 1504 Santa Rosa Rd Suite 208 Richmond VA 23229-5109 Ph: (804) 288-6272 |
| NPI Number | 1144242280 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144242280 | NPI | - | NPPES |
| 004948513 | Medicaid | VA |
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