Organization
IMMERSE & EMERGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PALACIOS LPC (OWNER)
(434) 660-5848
Entity
Organization
Contact information
Practice address
10617 KETTERING DR STE 113, CHARLOTTE, NC 28226-4900
(866) 977-9067
(866) 977-9159
Mailing address
2413 HAWTHORNE RD, LYNCHBURG, VA 24503-2905
(434) 660-5848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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