person
Ms. Susan Leslie Roark, LPC
Professional Counselor in Charlottesville, Virginia
NPI 1568524957

Susan Leslie Roark is a Professional Counselor based in Charlottesville, VA and is specialized in Professional. Susan Leslie Roark practices in Charlottesville, VA and has the professional credentials of LPC. The NPI Number for Susan Leslie Roark is 1568524957 and holds a License No. 0701002014 (Virginia).

The current practice location address for Susan Leslie Roark is 918 9 1 2 St Ne, Charlottesville, VA and can be reached out via phone at 434-296-3850 and via fax at 434-296-2928.

Location: 918 9 1 2 St Ne, Charlottesville, VA, 22902
person
Provider Profile Details
NPI Number
1568524957
Provider Name
Susan Leslie Roark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
918 9 1 2 St Ne, Charlottesville, VA, 22902
Phone Number
434-296-3850
Fax Number
434-296-2928
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
087527 01 SOUTHERN HEALTH
521336 01 VALUE OPTION
153886 01 ANTHEM
IP287876 01 GREEN SPRING
5463577 01 AETNA
institution
Provider Business Practice Location Address Details
Address
918 9 1 2 St Ne
City
State
Zip
22902-5311
Phone Number
434-296-3850
Fax Number
434-296-2928
person
Provider Business Mailing Address Details
Address
918 9 1 2 St Ne
City
State
Zip
22902-5311
Phone Number
434-296-3850
Fax Number
434-296-2928
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701002014 (Virginia)
Definition
Definition to come...
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