Therapeutic in Home Counseling
NPI #1063669414 in Petersburg, Virginia
Provider Information
- NPI Number
- 1063669414
- Entity Type
- Organization
- Organization Name
- Therapeutic in Home Counseling
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 1949 VESONDER RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-2933
- Phone
- (804) 640-2101
Authorized Official
- Name
- MISS LISA SMITH
- Title
- HOUSE SUPERVISOR
- Phone
- (804) 640-2101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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