| NPI | 1326592742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE LEE OSTLUND Licensed Professional Counselor 540-722-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006612) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |