| NPI | 1205699345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FAIR Licensed Professional Counselor 804-318-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2026-02-09 |