NPI | 1215293402 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTIE BROWN Professional Counselor 757-277-6347 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004335) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2012-04-02 |