Individual
KIMBERLIE ANDREA GONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
836 CAMPBELL AVE SW, ROANOKE, VA 24016-3536
(540) 345-1584
(540) 345-5754
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004093
VA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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