Doctor Name: | MRS. DOROTHY J. TRUAX |
NPI Number: | 1285851477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 112 Painter St Galax, VA - 243333828 |
Business Phone Number: | 2762362994 |
Business Fax Number: | 2762388762 |
Mailing Address: | 112 Painter Street, GALAX |
State: | VA |
Postal Code: | 243333828 |
Phone Number: | 2762362994 |
Fax Number: | 2762388762 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |