| NPI | 1215293402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTIE BROWN DAVIS Professional Counselor 757-386-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004335) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2026-03-27 |