Individual
MARY ELIZABETH FEAMSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2625 MERIWETHER DR, CHARLOTTESVILLE, VA 22901-9512
(757) 777-8996
Mailing address
2625 MERIWETHER DR, CHARLOTTESVILLE, VA 22901-9512
(757) 777-8996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701008831
VA
101YM0800X
Mental Health Counselor
0701008831
VA
101YP2500X
Professional Counselor
0701008831
VA
Other
Enumeration date
12/18/2019
Last updated
08/21/2020
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