Organization
BREAKFORTH COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT TODD VANCE PHD (CLINICAL PSYCHOLOGIST/OWNER)
(540) 556-4356
Entity
Organization
Contact information
Practice address
3959 ELECTRIC RD STE 425, ROANOKE, VA 24018-4563
(540) 556-4356
(540) 266-7511
Mailing address
3959 ELECTRIC RD STE 425, ROANOKE, VA 24018-4563
(540) 556-4356
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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