Individual
MS. JENNIFER G SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9601 GAYTON RD, SUITE 201, RICHMOND, VA 23238-4963
(804) 592-1572
(630) 473-2753
Mailing address
9601 GAYTON RD, SUITE 201, RICHMOND, VA 23238-4963
(804) 592-1572
(630) 473-2753
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S282930-9
VA
Other
Enumeration date
03/10/2009
Last updated
12/03/2012
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