Individual
DAVID MICHAEL CANADA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
(804) 365-4222
(804) 365-4252
Mailing address
12300 WASHINGTON HWY, ASHLAND, VA 23005-7646
(804) 365-4222
(804) 365-4252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904008191
VA
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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