County Line Enhancement Services | |
620 County Line Rd Bassett VA 24055-5157 | |
(276) 790-7497 | |
Not Available |
Full Name | County Line Enhancement Services |
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Speciality | Counselor |
Location | 620 County Line Rd, Bassett, Virginia |
Authorized Official Name and Position | Aleta Gibbs (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2767907497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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County Line Enhancement Services 620 County Line Rd Bassett VA 24055-5157 Ph: () - | County Line Enhancement Services 620 County Line Rd Bassett VA 24055-5157 Ph: (276) 790-7497 |
NPI Number | 1861153173 |
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Provider Enumeration Date | 01/08/2022 |
Last Update Date | 01/08/2022 |
Certification Date | 01/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861153173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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