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NPI Code Detail

MEDICARE: MS. ROCHELLE M. NIGHTENGALE MS, LPC, C.R.C.

MEDICARE:  MS. ROCHELLE M. NIGHTENGALE  MS, LPC, C.R.C.
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 Counselor0701004858VA
2101YM0800XMental Health Counselor00051953VA

General Provider Information

NPI Number : 1386953164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROCHELLE M. NIGHTENGALE MS, LPC, C.R.C.
Provider Business Mailing Address
First Line : PO BOX 27872
Second Line :
City : RICHMOND
State : VA
Zip : 23261-7872
Country : US
Telephone Number : 804-337-3277
Fax Number :
Provider Business Practice Location Address
First Line : 3122 W MARSHALL ST STE 215
Second Line :
City : RICHMOND
State : VA
Zip : 23230-4734
Country : US
Telephone Number : 804-337-3277
Fax Number : 804-249-4127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 10/29/2014

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