| NPI | 1063072312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MCKENZIE Licensed Professional Counselor 540-519-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |