Individual
B JANE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LMFT
Contact information
Practice address
1769 108 JAMESTOWN ROAD, JAMESTOWN PROFESSIONAL PARK, WILLIAMSBURG, VA 23185
(757) 258-0853
Mailing address
1769 108 JAMESTOWN ROAD, JAMESTOWN PROFESSIONAL PARK, WILLIAMSBURG, VA 23185
(757) 258-0853
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001027
VA
106H00000X
Marriage & Family Therapist
0717000222
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19527
ANTHEM BCBS
VA
Enumeration date
02/23/2007
Last updated
08/20/2008
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