Organization
BALANCED LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LANDON (OWNER)
(540) 818-6951
Entity
Organization
Contact information
Practice address
5364 MAIN ST, STEPHENS CITY, VA 22655-2827
(540) 818-6951
Mailing address
5364 MAIN ST, STEPHENS CITY, VA 22655-2827
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002764
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701002764
LICENSE
VA
Enumeration date
10/25/2017
Last updated
10/25/2017
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