Intensive Supervision and Counseling Services, LLC

NPI #1811967813 in Front Royal, Virginia

Provider Information

NPI Number: 1811967813
Entity Type: Organization
Organization Name: Intensive Supervision and Counseling Services, LLC
Primary Specialty: Counselor
Enumeration Date: Jan 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 986 JOHN MARSHALL HWY
Address 2: UNIT D
City: Front Royal
State: Virginia
ZIP Code: 22630-4506
Phone: (540) 636-0068

Authorized Official

Name: MR. CHRISTIAN ROUSSEAU, MA, QMHP
Title: DIRECTOR
Phone: (540) 636-0068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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