Individual
KRISTINA LYNN ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
160 COURT HOUSE LN, CLINTWOOD, VA 24228
(276) 219-3237
Mailing address
2694 STONE COAL RD, GRUNDY, VA 24614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010360
VA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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