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Individual

MRS. JACLYN NICOLE BOYKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5403 JEFFERSON ST, RICHMOND, VA 23223-6007
(804) 204-9255
Mailing address
5403 JEFFERSON ST, RICHMOND, VA 23223-6007
(804) 204-9255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009581
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701009581
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
01/27/2020
Last updated
07/22/2020
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