Individual
JACOB RHEAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5511 STAPLES MILL RD STE 300, RICHMOND, VA 23228-5445
(804) 230-0999
Mailing address
5511 STAPLES MILL RD STE 300, RICHMOND, VA 23228-5445
(804) 230-0999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010179
VA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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