Individual
NATHAN NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 W MAIN ST, LOUISA, VA 23093-9450
(540) 894-7263
Mailing address
212 COPPER LINE RD, BUMPASS, VA 23024-3034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08302003
—
VA
Enumeration date
02/01/2019
Last updated
02/01/2019
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