Individual
ARDIS GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(540) 344-4600
Mailing address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(540) 344-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006253
VA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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