Individual
JANE L SIRKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22280 JEB STUART HWY, STUART, VA 24171-2999
(276) 694-4570
(276) 694-3445
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005369
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004945221
MEDICAID # FOR GROUP
VA
Enumeration date
12/11/2012
Last updated
12/11/2012
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