Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 0701004852 | VA |
NPI | 1003137357 |
---|---|
Provider Name | Mrs. Erin Sheetz Mace |
First Address | Lynchburg, VA 24501 |
Second Address | Lynchburg, VA 24501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 24/03/2016 |