| Susan K Roehrich Llc | |
|
300 Enterprise Dr Ste C Forest VA 24551-2732 | |
| (434) 616-2230 | |
| (434) 616-2232 |
| Full Name | Susan K Roehrich Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 300 Enterprise Dr Ste C, Forest, Virginia |
| Authorized Official Name and Position | Susan Roehrich (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4346162230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan K Roehrich Llc 300 Enterprise Dr Ste C Forest VA 24551-2732 Ph: (434) 616-2230 | Susan K Roehrich Llc 300 Enterprise Dr Ste C Forest VA 24551-2732 Ph: (434) 616-2230 |
| NPI Number | 1710308861 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710308861 | NPI | - | NPPES |
| 5405955 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701002367 (Virginia) | Primary |
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