Individual
MS. ANNE LUSBYDENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 774-4686
(540) 989-8893
Mailing address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 774-4686
(540) 989-8893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002338
VA
Other
Enumeration date
12/12/2006
Last updated
10/01/2012
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