Individual
MEREDITH NUSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., L.S.A.T.P.
Contact information
Practice address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
(804) 365-4389
Mailing address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000242
VA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701005371
VA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/06/2012
Last updated
03/02/2023
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