person
Mr. Raymond Charles Clifford SR., BS,CSACQMHP-A,C
Addiction (Substance Use Disorder) Counselor in Galax, Virginia
NPI 1568110757

Raymond Charles Clifford SR. is an Addiction (Substance Use Disorder) Counselor based in Galax, VA and is specialized in Addiction (Substance Use Disorder). Raymond Charles Clifford SR. practices in Galax, VA and has the professional credentials of BS,CSACQMHP-A,C. The NPI Number for Raymond Charles Clifford SR. is 1568110757 and holds a License No. 0710103674 (Virginia).

The current practice location address for Raymond Charles Clifford SR. is 140 Larkspur Ln Ste D, Galax, VA and can be reached out via phone at 276-236-6341 and via fax at 276-236-6237.

Location: 140 Larkspur Ln Ste D, Galax, VA, 24333-2753
person
Provider Profile Details
NPI Number
1568110757
Provider Name
Raymond Charles Clifford SR.
Credential
BS,CSACQMHP-A,C
Provider Entity Type
Individual
Gender
Male
Address
140 Larkspur Ln Ste D, Galax, VA, 24333-2753
Phone Number
276-236-6341
Fax Number
276-236-6237
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 Larkspur Ln Ste D
City
State
Zip
24333-2753
Phone Number
276-236-6341
Fax Number
276-236-6237
person
Provider Business Mailing Address Details
Address
140 Larkspur Ln Ste D
City
State
Zip
24333-2753
Phone Number
276-236-6341
Fax Number
276-236-6237
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710103674 (Virginia)
Definition
Definition to come...
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