Doctor Name: | MS. NELL K PACE |
NPI Number: | 1023121654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LPC |
License Number: | 0701002078 |
Business Practice Address: | 3601 W Hundred Rd Ste 6 Chester, VA - 238311901 |
Business Phone Number: | 8047787365 |
Business Fax Number: | 8045055550 |
Mailing Address: | 3601 W Hundred Rd, Ste 6 CHESTER |
State: | VA |
Postal Code: | 238311901 |
Phone Number: | 8047787365 |
Fax Number: | 8047486399 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701002078 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |