MEDICARE: JAMES RIVER COUNSELING CENTER, INC.

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	101Y00000X	Counselor	NOT APPLICABLE	VA

General Provider Information

NPI Number	:	1902811326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES RIVER COUNSELING CENTER, INC.

Provider Business Mailing Address
First Line	:	1120 MCCONVILLE RD
Second Line	:	SUITE A
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-4534
Country	:	US
Telephone Number	:	434-237-4652
Fax Number	:	434-237-4804

Provider Business Practice Location Address
First Line	:	1120 MCCONVILLE RD
Second Line	:	SUITE A
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-4534
Country	:	US
Telephone Number	:	434-237-4652
Fax Number	:	434-237-4804

Authorized Official
Title or Position	:	CO-OWNER OF PRACTICE
Name	:	KATHERINE STARR KILCHER
Credential	:	L.P.C., L.M.F.T.
Telephone Number	:	434-237-4652

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/22/2020

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