Individual
MRS. JENNIFER DALTON CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1601 FRANKLIN TPKE, DANVILLE, VA 24540-1031
(434) 836-8500
Mailing address
2011 DALE DR, BLAIRS, VA 24527-2249
(434) 713-2766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701011248
—
VA
Enumeration date
02/23/2022
Last updated
02/23/2022
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