Organization
EMBRACE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA JACKSON LCSW (OWNER/COUNSELOR)
(540) 819-4353
Entity
Organization
Contact information
Practice address
3524 BRAMBLETON AVE, SUITE 2, ROANOKE, VA 24018-6528
(540) 819-4353
Mailing address
3524 BRAMBLETON AVE, SUITE 2, ROANOKE, VA 24018-6528
(540) 819-4353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904009062
VA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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