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NPI Code Detail

MEDICARE: ANNAMARIE ELMORE COMPTON LPC

MEDICARE: ANNAMARIE ELMORE COMPTON 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
1101YM0800XMental Health CounselorVA

General Provider Information

NPI Number : 1770091530
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNAMARIE ELMORE COMPTON LPC
Provider Business Mailing Address
First Line : 1104 E LAWN DR APT 306
Second Line :
City : FOREST
State : VA
Zip : 24551-2990
Country : US
Telephone Number : 804-898-0687
Fax Number :
Provider Business Practice Location Address
First Line : 1617 ENTERPRISE DR # A
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-5797
Country : US
Telephone Number : 804-898-0687
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2018
Last Update Date : 01/15/2018

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Directions to “ ANNAMARIE ELMORE COMPTON LPC” Practice Location

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