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Organization
SHENANDOAH PROFESSIONAL COUNSELING, LLC
Active
Organization
SHENANDOAH PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J SMOOT LPC (SOLO PRACTIONER)
(540) 662-3455
Entity
Organization
Contact information
Practice address
133 W BOSCAWEN ST, SUITE 11, WINCHESTER, VA 22601-4190
(540) 662-3455
(540) 662-3455
Mailing address
133 W BOSCAWEN ST, SUITE 11, WINCHESTER, VA 22601-4190
(540) 662-3455
(540) 662-3455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003862
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010223393
—
VA
05
—
010234549
—
VA
01
—
086004M
OPTIMA/COMMUNITY HEALTH
VA
01
—
184671
ANTHEM
VA
01
—
O86004M
SENTARA/FAMIS/EAP
VA
Enumeration date
03/04/2006
Last updated
07/22/2008
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