Individual
LUKE EVAN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
130 RURITAN RD, ROCKY MOUNT, VA 24151-5238
(540) 420-6427
Mailing address
130 RURITAN RD, ROCKY MOUNT, VA 24151-5238
(540) 420-6427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010176
VA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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