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Mrs. Mary Kingery Altice
Counselor in Roanoke, Virginia
NPI 1740500941

Mary Kingery Altice is a Counselor based in Roanoke, VA. Mary Kingery Altice practices in Roanoke, VA. The NPI Number for Mary Kingery Altice is 1740500941 and holds a License No. 0701004847 (Virginia).

The current practice location address for Mary Kingery Altice is 611 Mcdowell Ave Nw, Roanoke, VA and can be reached out via phone at 540-343-3007.

Location: 611 Mcdowell Ave Nw, Roanoke, VA, 24016-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740500941
Provider Name
Mary Kingery Altice
Credential
Provider Entity Type
Individual
Gender
Female
Address
611 Mcdowell Ave Nw, Roanoke, VA, 24016-4001
Phone Number
540-343-3007
Fax Number
Provider Enumeration Date
06/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437137734 05 VA
institution
Provider Business Practice Location Address Details
Address
611 Mcdowell Ave Nw
City
Roanoke
State
Virginia
Zip
24016-1225
Phone Number
540-343-3007
Fax Number
person
Provider Business Mailing Address Details
Address
611 Mcdowell Ave Nw
City
Roanoke
State
Virginia
Zip
24016-1225
Phone Number
540-343-3007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701004847 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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