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Individual

JASMINE BURGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
700 TECH CENTER PKWY # 200-17, NEWPORT NEWS, VA 23606-3075
(757) 690-1992
Mailing address
513 CORAL KEY PL APT 3C, NEWPORT NEWS, VA 23606-4357
(856) 993-3767

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014821
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16486685
CAQH
VA
Enumeration date
06/30/2023
Last updated
08/12/2025
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