Organization
APPALACHIAN COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BRADLEY-JACKSON MS,LPC (CLINICAL DIRECTOR)
(276) 859-2129
Entity
Organization
Contact information
Practice address
1034 FREEHOLD ROAD, DAVENPORT, VA 24239
(276) 859-2129
Mailing address
1015A LOVER'S GAP RIAD, VANSANT, VA 24657
(276) 859-2129
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0701004867
VA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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