Organization
LONELY PIG COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA MARIE CASEBOLT APRN, BC (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
(434) 315-0386
Entity
Organization
Contact information
Practice address
200 NORTH ST, FARMVILLE, VA 23901-1314
(434) 315-0386
Mailing address
PO BOX 668, FARMVILLE, VA 23901-0668
(434) 315-0386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024167534
VA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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