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Jennifer Roark, LPC
Professional Counselor in Cedar Bluff, Virginia
NPI 1538100516

Jennifer Roark is a Professional Counselor based in Cedar Bluff, VA and is specialized in Professional. Jennifer Roark practices in Cedar Bluff, VA and has the professional credentials of LPC. The NPI Number for Jennifer Roark is 1538100516 and holds a License No. 0701003885 (Virginia).

The current practice location address for Jennifer Roark is Rte 19 - 460, Cedar Bluff, VA and can be reached out via phone at 276-964-6702 and via fax at 276-964-5669.

Location: Rte 19 - 460, Cedar Bluff, VA, 24609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538100516
Provider Name
Jennifer Roark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
Rte 19 - 460, Cedar Bluff, VA, 24609
Phone Number
276-964-6702
Fax Number
276-964-5669
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
192250 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
Rte 19 - 460
City
Cedar Bluff
State
Virginia
Zip
24609
Phone Number
276-964-6702
Fax Number
276-964-5669
person
Provider Business Mailing Address Details
Address
Rte 19 - 460
City
Cedar Bluff
State
Virginia
Zip
24609
Phone Number
276-964-6702
Fax Number
276-964-5669
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701003885 (Virginia)
Definition
Definition to come...
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