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
1	101YP2500X	Professional Counselor	0701003335	VA

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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