Individual
HEATHER MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 KIRK AVE SE, ROANOKE, VA 24011-1807
(540) 425-4565
Mailing address
908 LONGWOOD AVE, BEDFORD, VA 24523-2106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009493
VA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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