Individual
DR. LARRY LEE SINSABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4801 HERMITAGE RD, SUITE 20, RICHMOND, VA 23227-3332
(804) 262-0571
(804) 262-5937
Mailing address
4801 HERMITAGE RD STE 20, RICHMOND, VA 23227-3332
(804) 262-0571
(804) 262-5937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
001735
MD
101YP2500X
Professional Counselor
Primary
0701-00000036
VA
101YP2500X
Professional Counselor
1377
WV
101YP2500X
Professional Counselor
2104
NC
106H00000X
Marriage & Family Therapist
0717-000060
VA
171M00000X
Case Manager/Care Coordinator
0715-000035
VA
251S00000X
Community/Behavioral Health Agency
09-574058
VA
Other
Enumeration date
03/17/2007
Last updated
05/23/2008
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