Individual
JESSICA SUE HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CSAC-S
Contact information
Practice address
1615 MODOC AVE, NORFOLK, VA 23503-3123
(757) 439-2921
Mailing address
1615 MODOC AVE, NORFOLK, VA 23503-3123
(757) 439-2921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709025296
VA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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