Lake Country Counseling LLC

NPI #1871006817 in South Hill, Virginia

Provider Information

NPI Number: 1871006817
Entity Type: Organization
Organization Name: Lake Country Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 13, 2017
Last Updated: Nov 13, 2017

Practice Location

Address: 516 W ATLANTIC ST
City: South Hill
State: Virginia
ZIP Code: 23970-1906
Phone: (434) 774-7559

Authorized Official

Name: TESSIE S SMITH, LCSW
Title: LIC CLINICAL SOCIAL WORKER
Phone: (434) 774-7559

Specialties & Taxonomy Codes

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

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