| NPI | 1104438969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA HAYNES Licensed Professional Counselor 540-226-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-31 |