Individual
JEYLIM WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 CLAIBORNE SQ E, HAMPTON, VA 23666-2071
(757) 553-5375
Mailing address
4410 CLAIBORNE SQ E STE 218, HAMPTON, VA 23666-2071
(757) 553-5375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013932
VA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
02/12/2026
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