Individual
ADAM PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
104 HOMESTEAD DR, FOREST, VA 24551-4884
(434) 477-4176
Mailing address
1507 SANGLOE PL, LYNCHBURG, VA 24502-1818
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701005817
—
VA
Enumeration date
05/16/2014
Last updated
05/19/2014
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