Individual
MRS. JESSICA AUSTIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED.S, LMHP-R
Contact information
Practice address
291 INDEPENDENCE BLVD STE 532, VIRGINIA BEACH, VA 23462-5473
(757) 962-6889
Mailing address
1084 DEBACA CT, VIRGINIA BEACH, VA 23454-6601
(757) 619-5852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013859
VA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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