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Organization

INTEGRATED SELF COUNSELING & SUPERVISION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNA RATLIFF LPC (CEO)
(540) 797-1110
Entity
Organization

Contact information

Practice address
1724 TRILLIUM LN, BLACKSBURG, VA 24060-9096
(540) 797-1110
Mailing address
1724 TRILLIUM LN, BLACKSBURG, VA 24060-9096
(540) 797-1110

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/08/2023
Last updated
09/08/2023
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