| NPI | 1598275059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CUTSHALL Owner 757-282-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006669) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-05-31 |