| Acft | |
|
3310 Eaglebrook Rd Christiansburg VA 24073-8106 | |
| (540) 449-2593 | |
| (540) 382-9010 |
| Full Name | Acft |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3310 Eaglebrook Rd, Christiansburg, Virginia |
| Authorized Official Name and Position | Martha Lewis Anderson (OWNER DIRECTOR) |
| Authorized Official Contact | 5404492593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acft 3310 Eaglebrook Dr. Christiansburg VA 24073-8106 Ph: (540) 449-2593 | Acft 3310 Eaglebrook Rd Christiansburg VA 24073-8106 Ph: (540) 449-2593 |
| NPI Number | 1225325624 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225325624 | NPI | - | NPPES |
| 1184716482 | Medicaid | VA | |
| 1B208449 | Other | VA | ANTHEM |
| 005408005 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701001698 (Virginia) | Primary |
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