Individual
EMMA FREDETTE JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1975 ELK HILL RD, GOOCHLAND, VA 23063-3318
(434) 270-0393
Mailing address
1087 TOWNE LN, CHARLOTTESVILLE, VA 22901-3173
(304) 685-6930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006912
VA
Other
Enumeration date
06/19/2017
Last updated
01/03/2019
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