Individual
JESSICA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
Mailing address
500 SPRINGDALE DR, BRISTOL, TN 37620-0932
(276) 780-3734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009022
VA
101YP2500X
Professional Counselor
5493
TN
Other
Enumeration date
01/29/2018
Last updated
06/24/2025
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