Individual
MRS. JESSICA CAROL WALTERS HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603-1343
(757) 888-0400
Mailing address
136 PINE CREEK DR, HAMPTON, VA 23669-1244
(757) 449-7600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008306
VA
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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