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Individual

KEISHA THORNTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1482 FISHBURN MOUNTAIN RD, ROCKY MOUNT, VA 24151-5116
(540) 293-0431
Mailing address
1482 FISHBURN MOUNTAIN RD, ROCKY MOUNT, VA 24151-5116
(540) 293-0431

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014541
VA

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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