Individual
JESSICA WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
780 LYNNHAVEN PKWY STE 340, VIRGINIA BEACH, VA 23452-7361
(757) 576-1792
Mailing address
780 LYNNHAVEN PKWY STE 340, VIRGINIA BEACH, VA 23452-7361
(757) 576-1792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0704013025
VA
101YP2500X
Professional Counselor
Primary
0704013025
VA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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