Individual
JAMIE LYN SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7489 RIGHT FLANK RD STE 330, MECHANICSVILLE, VA 23116-3845
(804) 398-8401
Mailing address
6921 OSBORNE TPKE, HENRICO, VA 23231-5658
(804) 426-3005
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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