Individual
JENNIE ANTONETTE SITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 HAZELRIDGE RD NW, ROANOKE, VA 24012-1542
(540) 254-4998
Mailing address
171 WILDHURST AVE NE, ROANOKE, VA 24012-3637
(540) 257-4998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008430
VA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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