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Organization

ABUNDANT LIFE FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MICHELE L GUNTER LCSW (PRESIDENT)
(540) 344-4600
Entity
Organization

Contact information

Practice address
1026 1ST ST SW, ROANOKE, VA 24016-4402
(540) 344-4600
(540) 344-0793
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 344-9779
(540) 344-7154

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C09711
MEDICARE GROUP NPI
VA
Enumeration date
09/20/2006
Last updated
08/23/2007
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