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Individual

MARY CATHERINE REIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
611 MCDOWELL AVE NW, ROANOKE, VA 24016-1225
(540) 981-9351
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 981-9351

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437137734
VA
Enumeration date
04/23/2021
Last updated
04/23/2021
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