Individual
ERNEST JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 S SYCAMORE ST STE B, PETERSBURG, VA 23803-4279
(347) 596-7357
(804) 479-3373
Mailing address
1640 JOHNSON RD, SUITE 114B, PETERSBURG, VA 23805-1272
(347) 596-7357
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
PPS-0605341
VA
Other
Enumeration date
06/16/2016
Last updated
07/21/2022
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