Provider Demographics
NPI:1396233730
Name:CPJ COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:CPJ COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JETTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORFLEET
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-230-4554
Mailing Address - Street 1:3402 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2913
Mailing Address - Country:US
Mailing Address - Phone:202-230-4554
Mailing Address - Fax:
Practice Address - Street 1:2832 COPPERSMITH PLACE
Practice Address - Street 2:
Practice Address - City:BRYANS ROAD
Practice Address - State:MD
Practice Address - Zip Code:20616
Practice Address - Country:US
Practice Address - Phone:804-322-7185
Practice Address - Fax:804-884-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-30
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty