person
Charles R Adcock, LCSW
Addiction (Substance Use Disorder) Counselor in Richmond, Virginia
NPI 1083740989

Charles R Adcock is an Addiction (Substance Use Disorder) Counselor based in Richmond, VA and is specialized in Addiction (Substance Use Disorder). Charles R Adcock practices in Richmond, VA and has the professional credentials of LCSW. The NPI Number for Charles R Adcock is 1083740989 and holds a License No. 0904002513 (Virginia).

The current practice location address for Charles R Adcock is 4906 Radford Ave, Richmond, VA and can be reached out via phone at 804-354-1996 and via fax at 804-354-5516. You can also correspond with Charles R Adcock through the mailing address at 4906 RADFORD AVE, RICHMOND, VA - 23230-3512 (mailing address contact number: 804-354-1996).

Location: 4906 Radford Ave, Richmond, VA, 23230-3512
person
Provider Profile Details
NPI Number
1083740989
Provider Name
Charles R Adcock
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
4906 Radford Ave, Richmond, VA, 23230-3512
Phone Number
804-354-1996
Fax Number
804-354-5516
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
168467000 01 VA MAGELLAN MIS
303526 01 VA ANTHEM
168467000 01 VA MAGELLAN
84904 01 VA OPTIMA BEHAVIORAL HEALTH
861112647 01 UBH
145129 01 VA ANTHEM PROV #
N06B91 01 VA EMPIRE PROV #
5608429 01 VA AETNA PROV #
102045 01 VA VALUE OPTION PROV #
1019476 01 VA CIGNA PROV #
institution
Provider Business Practice Location Address Details
Address
4906 Radford Ave
City
State
Zip
23230-3512
Phone Number
804-354-1996
Fax Number
804-354-5516
person
Provider Business Mailing Address Details
Address
4906 Radford Ave
City
State
Zip
23230-3512
Phone Number
804-354-1996
Fax Number
804-354-5516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0904002513 (Virginia)
Definition
Definition to come...
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