Organization
INTENSIVE SUPERVISION AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN ROUSSEAU MA, QMHP (DIRECTOR)
(540) 636-0068
Entity
Organization
Contact information
Practice address
986 JOHN MARSHALL HWY, UNIT D, FRONT ROYAL, VA 22630-4506
(540) 636-0068
(540) 635-4006
Mailing address
986 JOHN MARSHALL HWY, UNIT D, FRONT ROYAL, VA 22630-4506
(540) 636-0068
(540) 635-4006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
448
VA
Other
Enumeration date
01/24/2006
Last updated
08/22/2020
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