Individual
MR. JAMES TAVENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006211
VA
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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