Organization
JERIOUS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE TAYLOR (CEO)
(757) 518-9673
Entity
Organization
Contact information
Practice address
5108 GREENWICH ROAD, VIRGINIA BEACH, VA 23462
(757) 518-9673
Mailing address
5108 GREENWICH ROAD, VIRGINIA BEACH, VA 23462
(757) 518-9673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1604-05-001
VA
Other
Enumeration date
03/13/2013
Last updated
03/15/2013
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