Individual
MRS. BRANDI TRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-R
Contact information
Practice address
3961 SPRINGFIELD RD, MEHERRIN, VA 23954-2406
(434) 294-4266
Mailing address
3961 SPRINGFIELD RD, MEHERRIN, VA 23954-2406
(434) 294-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016886
VA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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