Individual
JERRICA CHENAE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2200 COLONIAL AVE, NORFOLK, VA 23517-1915
(757) 937-5780
(757) 937-5781
Mailing address
2200 COLONIAL AVE STE 11, NORFOLK, VA 23517-1919
(757) 937-5780
(757) 937-5781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704011696
VA
Other
Enumeration date
01/09/2023
Last updated
03/27/2023
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