HEATHER TRAIL

WYTHEVILLE, VA
NPI1316271752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0701004655)
Enumeration Date2009-10-01
Last Update Date2011-06-20
Business Address
-- HEATHER TRAIL LPC
770 W RIDGE RD
WYTHEVILLE, VA 24382-1187
Phone number: 276-223-3200
Mailing Address
-- HEATHER TRAIL LPC
770 W RIDGE RD
WYTHEVILLE, VA 24382-1187
Phone number: 276-223-3200
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