| NPI | 1588044515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL CRAWFORD Licencsed Professional Counselor 757-816-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006115) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |