Individual
MR. SHIMON OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3912 ELECTRIC RD, BUILDING C, ROANOKE, VA 24018-4513
(540) 776-0716
(540) 776-0717
Mailing address
3912 ELECTRIC RD, BUILDING C, ROANOKE, VA 24018-4513
(540) 776-0716
(540) 776-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005302
VA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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