Essential Life Therapies INC

NPI #1063592608 in Roanoke, Virginia

Provider Information

NPI Number: 1063592608
Entity Type: Organization
Organization Name: Essential Life Therapies INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 17, 2006
Last Updated: Jun 23, 2010

Practice Location

Address: 5507 DOWNING ST
City: Roanoke
State: Virginia
ZIP Code: 24018-8704
Phone: (540) 989-0315

Authorized Official

Name: MS. JACKIE C CLAXTON, LCSW
Title: PRESIDENT
Phone: (540) 989-0315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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