Individual
ELIZABETH A. CLEMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 693-5057
(804) 693-7407
Mailing address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 693-5057
(804) 693-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002912
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122559
VALUE OPTIONS
VA
01
—
137455
HEALTHKEEPERS
VA
05
—
137455
—
VA
01
—
7162588
AETNA
VA
01
—
O87894M
SOUTHERN HEALTH
VA
05
—
O87894M
—
VA
Enumeration date
04/06/2006
Last updated
07/09/2007
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