Addiction Wellness Center Va
NPI #1396602793 in Front Royal, Virginia
Provider Information
- NPI Number
- 1396602793
- Entity Type
- Organization
- Organization Name
- Addiction Wellness Center Va
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ADDICTION WELLNESS CENTER VA
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 7, 2026
- Last Updated
- Jan 30, 2026
Practice Location
- Address
- 824 JOHN MARSHALL HWY STE 203
- City
- Front Royal
- State
- Virginia
- ZIP Code
- 22630-3744
- Phone
- (540) 655-2936
Authorized Official
- Name
- JESSIE COSTLEY
- Title
- CREDENTIALING SPECIALIST
- Phone
- (540) 655-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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