Individual
JACQUELYN MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-7324
(757) 802-4500
Mailing address
2537 ELON DR, VIRGINIA BEACH, VA 23454-4353
(757) 667-8876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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