Organization
CHILD AND FAMILY THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MITCHELL LCSW (OWNER)
(540) 293-9788
Entity
Organization
Contact information
Practice address
5215 STARKEY RD, ROANOKE, VA 24018-9359
(540) 293-9788
(540) 904-7731
Mailing address
4620 BUCK RUN DR APT D, ROANOKE, VA 24018-9042
(540) 293-9788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009910
VA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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