Organization
BLUERIDGE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH E FENDER LCSW (PRESIDENT)
(540) 639-9040
Entity
Organization
Contact information
Practice address
519 2ND ST, RADFORD, VA 24141-1403
(540) 639-9040
(540) 639-9040
Mailing address
519 2ND ST, RADFORD, VA 24141-1403
(540) 639-9040
(540) 639-9040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004405
VA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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