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Sea Glass Llc
Professional Counselor in Richmond, Virginia
NPI 1225705510

Sea Glass Llc is a Professional Counselor based in Richmond, VA and is specialized in Professional. Sea Glass Llc practices in Richmond, VA. The NPI Number for Sea Glass Llc is 1225705510 and holds a License No. (Virginia).

The current practice location address for Sea Glass Llc is 5318 Patterson Ave Ste C, Richmond, VA and can be reached out via phone at 804-217-2202 and via fax at 833-699-4700.

Location: 5318 Patterson Ave Ste C, Richmond, VA, 23226-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225705510
Provider Name
Sea Glass Llc
Credential
Provider Entity Type
Organization
Address
5318 Patterson Ave Ste C, Richmond, VA, 23226-2044
Phone Number
804-217-2202
Fax Number
833-699-4700
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073852299 05 VA
institution
Provider Business Practice Location Address Details
Address
5318 Patterson Ave Ste C
City
Richmond
State
Virginia
Zip
23226-2044
Phone Number
804-217-2202
Fax Number
833-699-4700
person
Provider Business Mailing Address Details
Address
5318 Patterson Ave Ste C
City
Richmond
State
Virginia
Zip
23226-2044
Phone Number
804-217-2202
Fax Number
833-699-4700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
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Definition
Definition to come...
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