Individualized Counseling Plc

NPI #1174605745 in Roanoke, Virginia

Provider Information

NPI Number: 1174605745
Entity Type: Organization
Organization Name: Individualized Counseling Plc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 20, 2006
Last Updated: Mar 17, 2011

Practice Location

Address: 3536 BRAMBLETON AVE
Address 2: SUITE 1-B
City: Roanoke
State: Virginia
ZIP Code: 24018-6526
Phone: (540) 776-6466

Authorized Official

Name: MS. TERESA GAIL MISCO, LCSW
Title: PRESIDENT
Phone: (540) 776-6466

Specialties & Taxonomy Codes

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

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