Individual
CAITLIN DALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ELM AVE SW, ROANOKE, VA 24016-3920
(540) 701-3704
Mailing address
422 ELM AVE SW, ROANOKE, VA 24016-3920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012077
VA
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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