Organization
BRYANJPRINZIVALLI
Active
Other names
VIP Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN JOHN PRINZIVALLI LPC, ACS (OWNER)
(434) 610-2215
Entity
Organization
Contact information
Practice address
17 CRESTVIEW DR, RUSTBURG, VA 24588-4033
(434) 610-2215
Mailing address
17 CRESTVIEW DR, RUSTBURG, VA 24588-4033
(434) 610-2215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005780
VA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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