Individual
JA'LESA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1811 KING ST, PORTSMOUTH, VA 23704-3032
(757) 393-5357
Mailing address
6704 CHAMBERS LN, SUFFOLK, VA 23435-3083
(757) 610-1978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010315
VA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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