Individual
JOHN I WESTERVELT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LSATP SAP ADS
Contact information
Practice address
2017 JEFFERSON ST SW, CRMH REHABILITATION CENTER, ROANOKE, VA 24014-2419
(540) 981-7963
Mailing address
5830 PENN FOREST PL, ROANOKE, VA 24018-5140
(540) 981-7963
(540) 344-0501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000003
VA
1041C0700X
Clinical Social Worker
Primary
0904-003354
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008930490
—
VA
05
—
008953384
—
VA
05
—
010198569
—
VA
05
—
010198674
—
VA
05
—
1376519678
—
VA
05
—
8918309
—
VA
Enumeration date
02/27/2006
Last updated
06/13/2008
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