Individual
JENNIFER KELSEY DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
217 W 3RD ST, FARMVILLE, VA 23901-1303
(434) 392-4074
Mailing address
260 FAIRGROUNDS RD, FARMVILLE, VA 23901-5401
(434) 547-8989
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006960
VA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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