Organization
BUCKHORN LANE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL H EDMUNDS LCSW (OWNER, SOLE PROVIDER)
(540) 371-1006
Entity
Organization
Contact information
Practice address
2217 PRINCESS ANNE ST, SUITE 105-5, FREDERICKSBURG, VA 22401-3382
(540) 371-1006
(540) 371-1911
Mailing address
2217 PRINCESS ANNE ST, SUITE 105-5, FREDERICKSBURG, VA 22401-3382
(540) 371-1006
(540) 371-1911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006912
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904006912
VA LCSW LICENSE
VA
05
—
1093951501
—
VA
01
—
11902767
CAQH
—
Enumeration date
12/28/2010
Last updated
01/03/2011
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