Individual
HELEN I LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12300 WASHINGTON HIGHWAY, ASHLAND, VA 23005
(804) 365-4222
(804) 365-4252
Mailing address
12300 WASHINGTON HIGHWAY, ASHLAND, VA 23005
(804) 365-4222
(804) 365-4252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004353
VA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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