Individual
MR. MICHAEL STEVEN TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDS, LPC
Contact information
Practice address
105 HEXHAM DR, LYNCHBURG, VA 24502-3012
(434) 237-2655
Mailing address
207 POMONA DR, MADISON HEIGHTS, VA 24572-3651
(434) 546-0441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007315
VA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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