Charlottesville League of Therapists, INC

NPI #1982886396 in Fairlawn, Virginia

Provider Information

NPI Number: 1982886396
Entity Type: Organization
Organization Name: Charlottesville League of Therapists, INC
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC
Primary Specialty: Counselor
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 7350 PEPPERS FERRY BLVD
City: Fairlawn
State: Virginia
ZIP Code: 24141-8856
Phone: (540) 633-3816

Authorized Official

Name: VICTORIA GIBSON
Title: OFFICE ASSISTNAT
Phone: (434) 984-0023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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