| NPI | 1063670354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L SINSABAUGH CEO/Director Lpc 804-262-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701-00000036) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD 001735) |
| 101YP2500X Counselor, Professional (Licence: NC 2104) | |
| 101YP2500X Counselor, Professional (Licence: WV 1377) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717-000060) | |
| 171M00000X Case Manager/Care Coordinator (Licence: VA 0715-000035) | |
| 251S00000X (Licence: VA 09-574058) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |