Individual
JENNIFER HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 ROANOKE ST STE 1, CHRISTIANSBURG, VA 24073-2512
(540) 555-5555
Mailing address
2100 ROANOKE ST STE 1, CHRISTIANSBURG, VA 24073-2512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103221
VA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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