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Individual

JAMIE GILBERT SHAWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5000 NEW POINT RD STE 3201, WILLIAMSBURG, VA 23188-9423
(757) 645-3558
(757) 645-3668
Mailing address
212 W QUEENS DR, WILLIAMSBURG, VA 23185-4919
(540) 588-8851

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701011633
VA

Other

Enumeration date
09/15/2022
Last updated
01/22/2023
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