| NPI | 1427638345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOLLER-BLACKMON Licensed Professional Counselor 804-477-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-02-05 |