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NPI Code Detail

MEDICARE: RIVER CITY INTEGRATIVE COUNSELING

MEDICARE: RIVER CITY INTEGRATIVE COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1619369444
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER CITY INTEGRATIVE COUNSELING
Provider Business Mailing Address
First Line : PO BOX 2549
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23058-2549
Country : US
Telephone Number : 804-230-0999
Fax Number : 804-230-0998
Provider Business Practice Location Address
First Line : 2604 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23294-4649
Country : US
Telephone Number : 804-230-0999
Fax Number : 804-230-0998
Authorized Official
Title or Position : CEO AND CLINICAL DIRECTOR
Name : MR. JAMES G CHRISTMAS
Credential : LCSW
Telephone Number : 804-230-0999
Provider Enumeration Date : 03/03/2015
Last Update Date : 01/18/2024

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Directions to “RIVER CITY INTEGRATIVE COUNSELING ” Practice Location

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