Individual
JAZMINE CAMILLE WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S SYCAMORE ST STE 4, PETERSBURG, VA 23803-5043
(804) 668-7217
Mailing address
PO BOX 613, COLONIAL HEIGHTS, VA 23834-0613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012204
VA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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