Individual
LORI GLENN REIBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6627 W BROAD ST STE 400, RICHMOND, VA 23230-1733
(804) 774-4550
Mailing address
PO BOX 13289, DURHAM, NC 27709-3289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013433
VA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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