Individual
JACTON ONYANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000525
VA
101YM0800X
Mental Health Counselor
Primary
0701004654
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945255
—
VA
Enumeration date
02/03/2010
Last updated
02/03/2010
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