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Contact Information

SOUTH CENTRAL COUNSELING GROUP
1046 MAIN STREET
DILLWYN, VA23936
 Phone: 434-808-0604
 Fax: 434-808-0716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL COUNSELING GROUP · (Female)

NPI # 1619255601
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2011
Last updated 07/26/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0904006760
  • VA Medicaid 1093004871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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