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Organization

THE WILLOW TREE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELESIA S VANBUREN MHR, SAC, LMHP-E, (EXECUTIVE DIRECTOR)
(540) 645-8992
Entity
Organization

Contact information

Practice address
8 BLOOMINGTON LN, STAFFORD, VA 22554-7727
(540) 645-8992
Mailing address
8 BLOOMINGTON LN, STAFFORD, VA 22554-7727
(540) 645-8992

Taxonomy

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

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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