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Individual
RONALD C UNDERWOOD
Active
Individual
RONALD C UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000207
VA
101YP2500X
Professional Counselor
Primary
0717000077
VA
106H00000X
Marriage & Family Therapist
0717000077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
08/07/2009
Last updated
02/09/2017
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