Individual
JILL H FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
(757) 253-4371
Mailing address
403 BROKENBRIDGE RD, YORKTOWN, VA 23692-4713
(757) 810-8901
(757) 253-4118
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0904003276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266051
ANTHEM
VA
01
—
363321
MANAGED HEALTH NET
VA
01
—
527375
VALUE OPTIONS
VA
01
—
527380
VALUE OPTIONS
VA
Enumeration date
01/08/2007
Last updated
07/08/2007
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