Individual
MR. HAL DOUGLAS HEROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Mailing address
585 DEE DEE DR, CHRISTIANSBURG, VA 24073-4126
(540) 382-1477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000663
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189660
ANTHEM BCBS
VA
Enumeration date
10/19/2006
Last updated
07/09/2007
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