Individual provider · Type 1 NPI

Michael Dale Fitzgerald Jr.

Professional Counselor · Rocky Mount, VA

NPI number 1619604758 Active

Practice location

6934 Callaway Rd
Rocky Mount, VA 24151-4790

Call (540) 537-0025 Map

Mailing address

615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701013640 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X0710103168 (VA)

Professional Counselor: Definition to come...

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About NPI 1619604758

Michael Dale Fitzgerald Jr.'s National Provider Identifier is 1619604758, issued on Aug 8, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rocky Mount, VA. The record was last updated on Sep 26, 2024.