Individual
JENNIFER KOCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1700 TURNER RD, RICHMOND, VA 23225-6941
(804) 377-3774
(804) 377-3776
Mailing address
5511 STAPLES MILL RD, SUITE 102, RICHMOND, VA 23228-5445
(804) 864-1320
(804) 864-1323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002801
VA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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