Individual
JAMIE FINCHER DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
5460 WESLEYAN DR, VIRGINIA BEACH, VA 23455-6906
(757) 395-1900
Mailing address
5460 WESLEYAN DR, VIRGINIA BEACH, VA 23455-6906
(757) 395-1900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1414
NC
1041C0700X
Clinical Social Worker
Primary
0904009710
VA
1041C0700X
Clinical Social Worker
C005834
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106893
—
NC
Enumeration date
02/26/2008
Last updated
09/24/2024
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