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Individual

CARLAN JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2380 LIBERTY WAY STE 100, VIRGINIA BEACH, VA 23456-3466
(757) 354-1051
Mailing address
2380 LIBERTY WAY STE 100, VIRGINIA BEACH, VA 23456-3466
(757) 354-1051

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015981
VA
1041C0700X
Clinical Social Worker
124074
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0904015981
LICENSE NUMBER
VA
01
124074
ASWB
CA
01
1508605940
GROUP NPI
Enumeration date
11/16/2023
Last updated
03/07/2025
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