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Organization
POLING THERAPEUTIC GROUP LLC
Active
Organization
POLING THERAPEUTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY POLING LPC (OWNER)
(540) 830-1777
Entity
Organization
Contact information
Practice address
3617 BUTTERMILK CREEK RD, ROCKINGHAM, VA 22802-1022
(540) 830-1777
(540) 466-1770
Mailing address
187 VALLEY VIEW AVE, MOUNT SIDNEY, VA 24467-2205
(540) 830-1777
(540) 466-1770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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