Organization
OLIVE TREE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE RACKLEY PADDOCK LPC, NCC, EMDR (OWNER/OPERATOR)
(434) 770-4326
Entity
Organization
Contact information
Practice address
1186 FAIRVIEW N, CHATHAM, VA 24531-3384
(434) 770-4326
Mailing address
PO BOX 860, CHATHAM, VA 24531-0860
(434) 770-4326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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