Individual
JACQUELINE VIRGINIA RICKMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 5TH ST NE, ROANOKE, VA 24016-2123
(502) 553-6039
Mailing address
1605 KINGSMILL DR, SALEM, VA 24153-4632
(502) 553-6039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904018266
VA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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