108 Counseling, LLC
NPI #1053874370 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1053874370
- Entity Type
- Organization
- Organization Name
- 108 Counseling, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 12, 2019
- Last Updated
- Apr 12, 2019
Practice Location
- Address
- 8710 CHOCTAW RD STE 6A
- State
- Virginia
- ZIP Code
- 23235-3472
- Phone
- (646) 256-5103
Authorized Official
- Name
- STEPHANIE MCNAMARA
- Title
- CREDENTIALING MANAGER
- Phone
- (804) 221-2042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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