Individual
STEFANIE RAE KINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 227-8426
Mailing address
5636 S MOUNTAIN DR, ROANOKE, VA 24018-9025
(540) 230-6212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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