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Contact Information

4 RIVERS COUNSELING LLC
300 FRANKLIN ST STE 236
MARTINSVILLE, VA24112-2162
 Phone: 276-226-0307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 4 RIVERS COUNSELING LLC · (Female)

NPI Number 1699404012
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2022
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 30017460770001
  • VA Other N121 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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