SearchVirginia225700000X

Eric Booth, LCMT

NPI 1083156053 · on the registry since 2016 · sole proprietor

Practice

Address
7761 Plantation Rd
Gloucester, VA 23061
Phone
(804) 694-6575

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia