| NPI | 1114438702 |
|---|---|
| Doing Business As | BEACH LIFE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JAYNE CARRELS-ZELLER Owner Private Practice Counseling 757-837-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004811) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6608-125) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |