Individual
JENNIFER THOMPSON WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
524 MENDHAM WAY, SALEM, VA 24153-2141
(540) 519-5304
Mailing address
524 MENDHAM WAY, SALEM, VA 24153-2141
(540) 519-5304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904012366
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
VA
Enumeration date
09/21/2020
Last updated
09/21/2020
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