| River Rose Counseling And Consulting, Llc | |
|
205 W Grayson St Galax VA 24333-2811 | |
| (267) 233-1263 | |
| Not Available |
| Full Name | River Rose Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 205 W Grayson St, Galax, Virginia |
| Authorized Official Name and Position | Catherine Burcham (OWNER) |
| Authorized Official Contact | 2762352128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Rose Counseling And Consulting, Llc 205 W Grayson St Galax VA 24333-2811 Ph: () - | River Rose Counseling And Consulting, Llc 205 W Grayson St Galax VA 24333-2811 Ph: (267) 233-1263 |
| NPI Number | 1750928602 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Medicare PECOS PAC ID | 3274950621 |
|---|---|
| Medicare Enrollment ID | O20200831000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750928602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine L Burcham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235386343 PECOS PAC ID: 0749349033 Enrollment ID: I20101020000836 |
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