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Individual
MISS JANE B VENABLE
Active
Individual
MISS JANE B VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0904005297
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000841
VA
1041C0700X
Clinical Social Worker
Primary
0904005297
VA
1041C0700X
Clinical Social Worker
C006755
NC
Other
Enumeration date
03/21/2006
Last updated
12/22/2011
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