Individual
JESSICA L MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4112 E PARHAM RD, RICHMOND, VA 23228-2753
(804) 901-7911
(804) 672-7422
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(804) 901-7911
(804) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005122
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904005122
—
VA
Enumeration date
11/16/2006
Last updated
02/05/2020
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