Individual
JENNIFER LYNN CECILIONE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCP
Contact information
Practice address
1617 MONUMENT AVE STE 202, RICHMOND, VA 23220-2943
(804) 569-5254
Mailing address
1617 MONUMENT AVE STE 202, RICHMOND, VA 23220-2943
(804) 569-5254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008673
VA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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