Individual
JENNIFER SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8100 THREE CHOPT RD RM 101, RICHMOND, VA 23229-4833
(804) 354-1881
Mailing address
8100 THREE CHOPT RD RM 101, RICHMOND, VA 23229-4833
(804) 354-1881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904006860
VA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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