Individual
BRIAN MONTRELL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2204 EXECUTIVE DR STE A, HAMPTON, VA 23666-6602
(757) 644-3989
(866) 813-7798
Mailing address
125 NAVAJO TRL, PORTSMOUTH, VA 23701-2429
(803) 290-3060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007937
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013158963
—
VA
Enumeration date
12/31/2018
Last updated
12/31/2018
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