Individual
JAYNA MADELEINE GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3807 BRANDON AVE SW STE 1115, ROANOKE, VA 24018-1490
(540) 342-1261
Mailing address
1724 TRILLIUM LN, BLACKSBURG, VA 24060-9096
(540) 797-1110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008578
VA
Other
Enumeration date
08/19/2019
Last updated
04/17/2024
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