Individual
JILLIAN BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1301 PETERS CREEK RD NW, ROANOKE, VA 24017-2545
(540) 777-2777
Mailing address
PO BOX 13894, ROANOKE, VA 24038-3894
(540) 354-1174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013643
VA
Other
Enumeration date
07/31/2024
Last updated
03/25/2025
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