| NPI | 1578014395 |
|---|---|
| Doing Business As | BLACK PINE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MARK NICHOLS Director 757-595-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 701006460) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-08-25 |