Individual
THOMAS J TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3025 PETERS CREEK RD NW STE A, ROANOKE, VA 24019-2760
(540) 352-7611
(540) 362-0973
Mailing address
6128 BUCKLAND MILL RD, ROANOKE, VA 24019-6736
(540) 265-2973
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002886
VA
Other
Enumeration date
09/28/2006
Last updated
03/24/2014
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