Individual
KEVIN EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,LPC,CCMHC,NCC
Contact information
Practice address
1045 MAIN ST, SUITE 5, DANVILLE, VA 24541-1800
(434) 792-2277
Mailing address
1045 MAIN ST, SUITE 5, DANVILLE, VA 24541-1800
(434) 792-2277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004959
VA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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