Organization
LAURIE SHEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SHEA PHD (OWNER)
(540) 382-1494
Entity
Organization
Contact information
Practice address
120 PONDEROSA DR, SUITE D, CHRISTIANSBURG, VA 24073-6598
(540) 382-1494
(540) 344-7154
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 311-7154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
07010013044
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821036153
—
VA
Enumeration date
04/29/2008
Last updated
06/21/2010
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