Individual
MARY BETH OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 523-8018
Mailing address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 523-8018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007364
VA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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