# INDIVIDUALIZED COUNSELING PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174605745
- **Authorized official:** MS. TERESA GAIL MISCO LCSW (PRESIDENT)
- **Authorized official phone:** (540) 776-6466

## Contact information

- **Practice address:** 3536 BRAMBLETON AVE, SUITE 1-B, ROANOKE, VA 24018-6526
- **Practice address phone:** (540) 776-6466
- **Mailing address:** 3536 BRAMBLETON AVE, SUITE 1-B, ROANOKE, VA 24018-6526
- **Mailing address phone:** (540) 776-6466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904005798 | VA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 03/17/2011