| NPI | 1689416422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE EVAN BOONE Licensed Professional Counselor 540-352-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |