ROBERT TICE

SALEM, VA
NPI1275296600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0710103540)
Enumeration Date2021-10-21
Last Update Date2021-10-21
Business Address
ROBERT TICE
6461 BRADSHAW RD
SALEM, VA 24153-2223
Phone number: 540-384-6748
Mailing Address
ROBERT TICE
6461 BRADSHAW RD
SALEM, VA 24153-2223
Phone number: 540-384-6748
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