Unknown Individual – Professional Counselor, NPI 1790754430
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
43, Rives Road, Lakewood, Petersburg, Virginia, 23805, United States
SUITE B
PETERSBURG, VA 238059255
Phone: (804) 732-1527
Fax: (804) 732-8210
Type: Location
Petersburg Post Office, 29, Franklin Street, Blandford, Petersburg, Virginia, 23803, United States
PETERSBURG, VA 238050997
Phone: (804) 732-1527
Fax: (804) 732-8210
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23805)
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