| Integrated Self Counseling & Supervision, Pllc | |
|
1724 Trillium Ln Blacksburg VA 24060-9096 | |
| (540) 797-1110 | |
| Not Available |
| Full Name | Integrated Self Counseling & Supervision, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1724 Trillium Ln, Blacksburg, Virginia |
| Authorized Official Name and Position | Jayna Ratliff (CEO) |
| Authorized Official Contact | 5407971110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Self Counseling & Supervision, Pllc 1724 Trillium Ln Blacksburg VA 24060-9096 Ph: (540) 797-1110 | Integrated Self Counseling & Supervision, Pllc 1724 Trillium Ln Blacksburg VA 24060-9096 Ph: (540) 797-1110 |
| NPI Number | 1386421832 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386421832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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