Individual
MS. JEANETTE CAROL COUNCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5109 GOLDSBORO DR, APT 12-I, NEWPORT NEWS, VA 23605-1301
(757) 232-2810
Mailing address
5109 GOLDSBORO DR, APT 12-I, NEWPORT NEWS, VA 23605-1301
(757) 232-2810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
T23955861
VA
Other
Enumeration date
04/22/2012
Last updated
04/22/2012
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