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Individual

JESSICA DAWN HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CSAC, NCC

Contact information

Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
(423) 900-2435
Mailing address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
(423) 900-2435

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103734
VA
101YP2500X
Professional Counselor
Primary
0701011819
VA

Other

Enumeration date
11/30/2022
Last updated
06/25/2024
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