Individual
SUSAN AUSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 COLONIAL AVE SW STE F, ROANOKE, VA 24015-3100
(540) 566-9706
Mailing address
2302 COLONIAL AVE SW STE F, ROANOKE, VA 24015-3100
(540) 566-9706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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