Individual
MS. JALISA NICOLE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5818 ZION RIDGE DR, NORTH CHESTERFIELD, VA 23234-4579
(804) 759-4050
Mailing address
5818 ZION RIDGE DR, NORTH CHESTERFIELD, VA 23234-4579
(804) 759-4050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
01/22/2020
Last updated
01/27/2023
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