Individual
MARY KATHERINE MUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 366-5248
(540) 366-5211
Mailing address
425 CAMPBELL AVE SW APT 105, ROANOKE, VA 24016-3765
(276) 608-9313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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