Individual
MS. DEBORAH M SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
4656 BRAMBLETON AVE, ROANOKE, VA 24018-3437
(540) 772-8043
(540) 772-8242
Mailing address
570 MAGNA CARTA VIA, CHRISTIANSBURG, VA 24073-1468
(540) 392-7878
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002543
VA
106H00000X
Marriage & Family Therapist
0717000806
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
ANTHEM
VA
01
—
123529
VALUE OPTIONS
VA
Enumeration date
03/31/2008
Last updated
09/26/2008
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