Individual
JESSICA BARDENHEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
7760 SHRADER RD STE B, RICHMOND, VA 23228-2552
(804) 591-0002
Mailing address
1805 BRIARDALE LN, HENRICO, VA 23229-4030
(703) 401-1992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011128
VA
Other
Enumeration date
03/24/2022
Last updated
03/25/2022
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