Individual
IAN NATHANAEL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MIDDLEBROOK AVE, STAUNTON, VA 24401-4233
(540) 255-0972
Mailing address
996 MISTY CT, ROCKINGHAM, VA 22801-3554
(540) 454-4468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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