Individual
DENEATTA MICHELLE ROARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1146 CABIN RIDGE RD, THAXTON, VA 24174-3644
(540) 871-3159
Mailing address
1146 CABIN RIDGE RD, THAXTON, VA 24174-3644
(540) 871-3159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007911
VA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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