Individual
MARY E HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Mailing address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701033847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194499
ANTHEM BLUE SHIELD
VA
01
—
O85278M
SENTARA
VA
Enumeration date
09/28/2006
Last updated
07/08/2007
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