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NPI Code Detail

MEDICARE: CHRISTINA DAWN DORMSTETTER-O'KEEFE LPC

MEDICARE:   CHRISTINA DAWN DORMSTETTER-O'KEEFE  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701003335VA

General Provider Information

NPI Number : 1174595888
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA DAWN DORMSTETTER-O'KEEFE LPC
Provider Business Mailing Address
First Line : 2126 MEMORIAL AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-2011
Country : US
Telephone Number : 540-529-8128
Fax Number : 540-227-6156
Provider Business Practice Location Address
First Line : 2126 MEMORIAL AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-2011
Country : US
Telephone Number : 703-851-1016
Fax Number : 540-227-6156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 02/15/2024

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Directions to “ CHRISTINA DAWN DORMSTETTER-O'KEEFE LPC” Practice Location

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