| Individualized Counseling Plc | |
| 
					3536 Brambleton Ave Suite 1-b Roanoke VA 24018-6526  | |
| (540) 776-6466 | |
| Not Available | 
| Full Name | Individualized Counseling Plc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 3536 Brambleton Ave, Roanoke, Virginia | 
| Authorized Official Name and Position | Teresa Gail Misco (PRESIDENT) | 
| Authorized Official Contact | 5407766466 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Individualized Counseling Plc 3536 Brambleton Ave Suite 1-b Roanoke VA 24018-6526 Ph: (540) 776-6466  | Individualized Counseling Plc 3536 Brambleton Ave Suite 1-b Roanoke VA 24018-6526 Ph: (540) 776-6466  | 
| NPI Number | 1174605745 | 
|---|---|
| Provider Enumeration Date | 10/20/2006 | 
| Last Update Date | 03/17/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174605745 | NPI | - | NPPES | 
| 010089247 | Medicaid | VA | |
| 145295 | Other | VA | ANTHEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005798 (Virginia) | Primary | 
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