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Organization
THE EPIPHANY CENTER
Active
Organization
THE EPIPHANY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA L. JENNINGS LPC, CADC (DIRECTOR/THERAPIST)
(404) 579-9763
Entity
Organization
Contact information
Practice address
408 E MARKET ST, SUITE 201B #2, CHARLOTTESVILLE, VA 22902-5261
(404) 579-9763
Mailing address
408 E MARKET ST, SUITE 201B #2, CHARLOTTESVILLE, VA 22902-5261
(404) 579-9763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701004672
VA
101YP2500X
Professional Counselor
Primary
0701004672
VA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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