Organization · Type 2 NPI
Living Waters Therapeutic Alliance Inc
Mental Health Counselor · Suffolk, VA
NPI number
1174207609
Active
Practice location
2570 River Watch Dr
Suffolk, VA 23434-8669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1174207609
Living Waters Therapeutic Alliance Inc's National Provider Identifier is 1174207609, issued on Jun 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suffolk, VA. The record was last updated on Dec 2, 2024.