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Individual

JULIE E EBERSOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC, CCTP

Contact information

Practice address
119 QUAIL HOLLOW DR, WOODSTOCK, VA 22664-4027
(540) 325-7234
Mailing address
119 QUAIL HOLLOW DR, WOODSTOCK, VA 22664-4027
(540) 325-7234

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0733006794
VA
101YP2500X
Professional Counselor
Primary
0701016106
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16157232
CAQH
VA
05
351348766012
VA
01
5500000217965616
NPDB
VA
Enumeration date
11/21/2022
Last updated
05/15/2026
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