Individual
JEANNETTE R ABELSON-GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSOTP
Contact information
Practice address
703 N COURTHOUSE RD, SUITE 101, NORTH CHESTERFIELD, VA 23236-4069
(804) 794-4482
(804) 379-7578
Mailing address
703 N COURTHOUSE RD, SUITE 101, NORTH CHESTERFIELD, VA 23236-4069
(804) 794-4482
(804) 379-7578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0812000410
VA
1041C0700X
Clinical Social Worker
Primary
0904005346
VA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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