Individual
JULIA L LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, QMHP, CSAC-A
Contact information
Practice address
500 PEGASUS CT, WINCHESTER, VA 22602-4596
(540) 313-4699
Mailing address
572 STONEWALL ST, STRASBURG, VA 22657-6311
(540) 481-4794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
101YM0800X
Mental Health Counselor
—
VA
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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