| NPI | 1760355440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORIAH JONELLE D BLACKMON Licensed Professional Counselor 757-694-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-09-27 |
| Last Update Date | 2025-11-18 |