Individual
JAN L BARRYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061-4162
(804) 693-5068
(804) 695-8122
Mailing address
223 N BENJAMIN HOWELL ST, WILLIAMSBURG, VA 23188-7928
(757) 259-1270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004865
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497717615
CARENET/ SOUTHERN HEALTH
VA
05
—
1497717615
—
VA
01
—
294721
VALUE OPTIONS
VA
Enumeration date
08/04/2010
Last updated
08/04/2010
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