Doctor Name: | MS. KERI WILLIS MEADOWS |
NPI Number: | 1033395694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 0701003614 |
Business Practice Address: | 6515 George Washington Mem Hwy Ste. 100 Grafton, VA - 236922182 |
Business Phone Number: | 7578779140 |
Business Fax Number: | 7578773925 |
Mailing Address: | 6515 George Washington Mem Hwy, Ste. 100 GRAFTON |
State: | VA |
Postal Code: | 236922182 |
Phone Number: | 7578779140 |
Fax Number: | 7578773925 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701003614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |