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Organization

COUNSELING STATION, LLC

Active
Other names
Shimon Okumura
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA WEAVER (OFFICE MANAGER)
(540) 529-8543
Entity
Organization

Contact information

Practice address
3959 ELECTRIC RD STE 426, ROANOKE, VA 24018-4562
(540) 655-9259
(540) 566-3056
Mailing address
1632 LANCING DR APT 30, SALEM, VA 24153-7516
(540) 655-9259
(540) 566-3056

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701005302
STATE LICENSE
VA
Enumeration date
01/21/2022
Last updated
01/21/2022
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