Individual
IVANISE B ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PEGASUS CT., WINCHESTER, VA 22602
(540) 313-4196
(540) 686-7906
Mailing address
500 PEGASUS CT, WINCHESTER VA, VA 22602
(540) 313-4196
(540) 686-7906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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