Individual
MARY BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 ENTERPRISE DR, LYNCHBURG, VA 24502-5797
(276) 237-4554
Mailing address
1621 ENTERPRISE DR, LYNCHBURG, VA 24502-5797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717002389
VA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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