Organization · Type 2 NPI
Elton's Soul To Soul Company
Mental Health Counselor · Roanoke, VA
NPI number
1104465129
Active
Practice location
3247 Electric Rd Ste 1A
Roanoke, VA 24018-6448
Fax (540) 772-0692
Mailing address
6776 Hidden Woods Dr
Roanoke, VA 24018-7480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1104465129
Elton's Soul To Soul Company's National Provider Identifier is 1104465129, issued on Dec 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roanoke, VA. The record was last updated on Dec 23, 2019.