Individual
JESSICA LAUREN BRANHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454-2263
(757) 632-3819
Mailing address
1301 FIRST COLONIAL RD STE 200, VIRGINIA BEACH, VA 23454-2263
(757) 632-3819
(757) 668-7950
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904007874
VA
1041C0700X
Clinical Social Worker
0904007874
VA
Other
Enumeration date
10/22/2007
Last updated
09/06/2024
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