Individual
JANA BRULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1769 JAMESTOWN RD STE 113, WILLIAMSBURG, VA 23185-2310
(804) 787-0496
Mailing address
3908 ST MARYS CIR, WILLIAMSBURG, VA 23185-2422
(804) 787-0486
(757) 345-6808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003392
VA
Other
Enumeration date
08/14/2014
Last updated
03/28/2025
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