Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | VA |
NPI | 1215545843 |
---|---|
Provider Name | Dr. Arllen Ade |
First Address | Triangle, VA 22172-2220 |
Second Address | Triangle, VA 22172-2220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |