Individual
MR. JACOB HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
504 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 517-3653
(434) 517-3043
Mailing address
504 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 517-3653
(434) 517-3043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010038
VA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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