Individual
JACKIE STANLEY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 BROAD ST, MARION, VA 24354-2725
(276) 781-5900
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008893
VA
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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