| NPI | 1013698737 |
|---|---|
| Doing Business As | AT PRESENT I AM THE SOLE EMPLOYEE WORKING AS AN INDEPENDENT CONTRACTOR |
| Entity Type | Organization |
| Authorized Contact | TREVENE GORDON Licensed Professional Counselor 804-502-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-07-31 |