Individual
JACK LEFTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 ROANOKE ST, CHRISTIANSBURG, VA 24073-2512
(540) 322-3040
Mailing address
2100 ROANOKE ST STE 1, CHRISTIANSBURG, VA 24073-2512
(540) 322-3040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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