| Access Intensive Counseling Llc | |
|
705 East Main Street Lebanon VA 24266 | |
| (276) 210-4618 | |
| (866) 718-7167 |
| Full Name | Access Intensive Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 705 East Main Street, Lebanon, Virginia |
| Authorized Official Name and Position | Susan B Fogg (CEO) |
| Authorized Official Contact | 2762104618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Intensive Counseling Llc Po Box 683 Pounding Mill VA 24637-0683 Ph: (276) 210-4618 | Access Intensive Counseling Llc 705 East Main Street Lebanon VA 24266 Ph: (276) 210-4618 |
| NPI Number | 1831439223 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831439223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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