| NPI | 1265592026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY COCKRELL Therapist Partner 540-898-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002237) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701002487) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |