| NPI | 1003388026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINIQUA RADFORD Owner And Professional Counselor 757-214-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 175T00000X Peer Specialist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-07-18 |