Innovative Counseling Group LLC
NPI #1306465257 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1306465257
- Entity Type
- Organization
- Organization Name
- Innovative Counseling Group LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 10, 2020
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 2530 PROFESSIONAL RD STE 201
- State
- Virginia
- ZIP Code
- 23235-3217
- Phone
- (804) 658-6760
Authorized Official
- Name
- MR. JOHNATHAN HAYES WEAVER, LPC, LSATP
- Title
- OWNER
- Phone
- (804) 658-6760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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