Individual
COURTNEY JOYCE POAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 TANYARD RD, ROCKY MOUNT, VA 24151-1554
(540) 488-5636
Mailing address
PO BOX 1104, ROCKY MOUNT, VA 24151-8104
(540) 493-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0906009075
VA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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