Organization
FOREST COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER SHAFFER LPC (OWNER)
(434) 322-1133
Entity
Organization
Contact information
Practice address
1507 THOMAS JEFFERSON RD, FOREST, VA 24551-3808
(434) 322-1133
Mailing address
1765 WATERLICK RD, LYNCHBURG, VA 24501-7229
(434) 322-1133
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0701006562
VA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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