person
Antonio O'neil Clinkscales
Pastoral Counselor in Ruther Glen, Virginia
NPI 1184182719

Antonio O'neil Clinkscales is a Pastoral Counselor based in Ruther Glen, VA and is specialized in Pastoral. Antonio O'neil Clinkscales practices in Ruther Glen, VA. The NPI Number for Antonio O'neil Clinkscales is 1184182719 and holds a License No. (Virginia).

The current practice location address for Antonio O'neil Clinkscales is 103 Surrey Dr, Ruther Glen, VA and can be reached out via phone at 804-994-7998.

Location: 103 Surrey Dr, Ruther Glen, VA, 22546-1035
person
Provider Profile Details
NPI Number
1184182719
Provider Name
Antonio O'neil Clinkscales
Credential
Provider Entity Type
Individual
Gender
Male
Address
103 Surrey Dr, Ruther Glen, VA, 22546-1035
Phone Number
804-994-7998
Fax Number
Provider Enumeration Date
03/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81-5150005 05 VA
institution
Provider Business Practice Location Address Details
Address
103 Surrey Dr
City
State
Zip
22546-1035
Phone Number
804-994-7998
Fax Number
person
Provider Business Mailing Address Details
Address
103 Surrey Dr
City
State
Zip
22546-1035
Phone Number
804-994-7998
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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