Individual
JESSICA CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 W 21ST ST STE 200, NORFOLK, VA 23517-1539
(919) 908-8903
Mailing address
1331 BOLLING AVE, NORFOLK, VA 23508-1301
(919) 806-6160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704013687
VA
101YP2500X
Professional Counselor
Primary
0704013687
VA
101YP2500X
Professional Counselor
A14809
NC
Other
Enumeration date
05/17/2019
Last updated
03/03/2022
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