Organization
HANCOCK CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGO ELIZABETH HANCOCK L.P.C (PRESIDENT)
(804) 883-5134
Entity
Organization
Contact information
Practice address
17099 MOUNTAIN RD, MONTPELIER, VA 23192-2549
(804) 883-5134
Mailing address
PO BOX 37, MONTPELIER, VA 23192-0037
(804) 883-5134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701004671
VA
101YM0800X
Mental Health Counselor
0701004671
VA
101YP2500X
Professional Counselor
Primary
0701004671
VA
101YS0200X
School Counselor
0701004671
VA
Other
Enumeration date
05/10/2010
Last updated
06/25/2010
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