Organization
THRIVE STAFFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA JURRENS PHD (PRESIDENT)
(540) 446-9805
Entity
Organization
Contact information
Practice address
556 GARRISONVILLE RD, STE 212, STAFFORD, VA 22554-7826
(540) 602-7266
(540) 657-6467
Mailing address
556 GARRISONVILLE RD, STE 212, STAFFORD, VA 22554-7826
(540) 602-7266
(540) 657-6467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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