Individual
LINDA TAYLOR ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
125 BROAD ST, DUBLIN, VA 24084-3201
(540) 674-4506
(540) 674-4507
Mailing address
125 BROAD ST, P.O. BOX 1183, DUBLIN, VA 24084-3201
(540) 674-4506
(540) 674-4507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0015-000533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010146917
—
VA
Enumeration date
11/10/2005
Last updated
09/13/2007
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