Individual
TABITHA SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S 4TH ST STE B, WYTHEVILLE, VA 24382-2500
(833) 356-4080
Mailing address
1661 GRAYSON TPKE, WYTHEVILLE, VA 24382-5878
(540) 307-0171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
06/17/2025
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