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Individual

LOGAN VALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LPC, NCC

Contact information

Practice address
3433 BRAMBLETON AVE, SUITE 201-A, ROANOKE, VA 24018-6515
(540) 266-7550
(540) 266-7230
Mailing address
3433 BRAMBLETON AVE, SUITE 201-A, ROANOKE, VA 24018-6515
(540) 266-7550
(540) 266-7230

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006892
VA

Other

Enumeration date
11/28/2016
Last updated
12/15/2016
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