Organization
KS CUNDIFF MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCOTT CUNDIFF LMFT (LICENSED MARRIAGE & FAMILY THERAPIS)
(540) 772-8043
Entity
Organization
Contact information
Practice address
4346 STARKEY RD STE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Mailing address
4346 STARKEY RD STE 1, ROANOKE, VA 24018-0605
(540) 772-8043
(540) 772-8242
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013433531
—
VA
Enumeration date
02/24/2022
Last updated
02/24/2022
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