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Individual

JILL KIMBERLY WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1100 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2403
(757) 385-6676
Mailing address
3432 VIRGINIA BEACH BLVD FL 3, VIRGINIA BEACH, VA 23452-4420
(757) 385-0684
(757) 306-5801

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007180
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1861562472
VA PREMIER
VA
05
1861562472
VA
Enumeration date
11/02/2017
Last updated
06/16/2018
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