Individual
MRS. JESSICA L JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ADC
Contact information
Practice address
281 INDEPENDENCE BLVD, STE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Mailing address
1103 VEGAS CT, CHARLOTTESVILLE, VA 22901-3739
(404) 579-9763
(434) 296-0081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701004672
VA
101YP2500X
Professional Counselor
Primary
0701004672
VA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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