Season Childress Lpc Llc | |
400 Roanoke St Christiansburg VA 24073-3139 | |
(540) 392-5374 | |
Not Available |
Full Name | Season Childress Lpc Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 400 Roanoke St, Christiansburg, Virginia |
Authorized Official Name and Position | Season Childress (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 5403925374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Season Childress Lpc Llc 106 S Franklin St Ste A-1 Christiansburg VA 24073-3547 Ph: (540) 392-5374 | Season Childress Lpc Llc 400 Roanoke St Christiansburg VA 24073-3139 Ph: (540) 392-5374 |
NPI Number | 1215549977 |
---|---|
Provider Enumeration Date | 08/23/2020 |
Last Update Date | 07/09/2024 |
Certification Date | 03/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215549977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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