Individual
MR. RAYMOND CHARLES CLIFFORD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CSAC. QMHP-A,C
Contact information
Practice address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
(276) 236-6237
Mailing address
140 LARKSPUR LN STE D, GALAX, VA 24333-2753
(276) 236-6341
(276) 236-6237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103674
VA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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