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Overview
Name: SEA GLASS LLC Specialty: Professional Counselor Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Behavioral Health & Social Service Providers Classification: Counselor Specialization: Professional. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: SEA GLASS LLC,5318 PATTERSON AVE STE C,RICHMOND,VA,232262044,US Mailing Address: SEA GLASS LLC,5318 PATTERSON AVE STE C,RICHMOND,VA,232262044,US
Contact #
Practice location phone #: 8042172202 Practice location fax #: 8336994700 Mailing address Phone #: 8042172202 Mailing Address fax #: 8336994700 Authorized official Name/Telephone #:JENNIFER, JENKINS-BOITNOTT, OWNER 8042172202
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:
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