| Vaught Christian Counseling Pc | |
|
214 Bush River Drive Farmville VA 23901 | |
| (434) 392-3187 | |
| (434) 392-5789 |
| Full Name | Vaught Christian Counseling Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 214 Bush River Drive, Farmville, Virginia |
| Authorized Official Name and Position | Kyle D Vaught (CS IOT COORDINATOR) |
| Authorized Official Contact | 4343923187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaught Christian Counseling Pc 214 Bush River Drive Farmville VA 23901 Ph: (434) 392-3187 | Vaught Christian Counseling Pc 214 Bush River Drive Farmville VA 23901 Ph: (434) 392-3187 |
| NPI Number | 1821164583 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821164583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2459 (Colorado) | Secondary |
| 251S00000X | Community/behavioral Health | 0701004337 (Virginia) | Primary |
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