person
Heather Trail, LPC
Mental Health Counselor in Wytheville, Virginia
NPI 1316271752

Heather Trail is a Mental Health Counselor based in Wytheville, VA and is specialized in Mental Health. Heather Trail practices in Wytheville, VA and has the professional credentials of LPC. The NPI Number for Heather Trail is 1316271752 and holds a License No. 0701004655 (Virginia).

The current practice location address for Heather Trail is 770 W Ridge Rd, Wytheville, VA and can be reached out via phone at 276-223-3200 and via fax at 276-223-0617.

Location: 770 W Ridge Rd, Wytheville, VA, 24382-1187
person
Provider Profile Details
NPI Number
1316271752
Provider Name
Heather Trail
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
770 W Ridge Rd, Wytheville, VA, 24382-1187
Phone Number
276-223-3200
Fax Number
276-223-0617
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004945298 05 VA
1316271752 01 ANTHEM
430712 01 VA MHN TRICARE
institution
Provider Business Practice Location Address Details
Address
770 W Ridge Rd
City
State
Zip
24382-1187
Phone Number
276-223-3200
Fax Number
276-223-0617
person
Provider Business Mailing Address Details
Address
770 W Ridge Rd
City
State
Zip
24382-1187
Phone Number
276-223-3200
Fax Number
276-223-0617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701004655 (Virginia)
Definition
Definition to come...
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