Individual
JENNA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 PRESTON PARK WAY, SANDY HOOK, VA 23153-2265
(804) 449-7376
Mailing address
PO BOX 1090, GOOCHLAND, VA 23063-1090
(804) 449-7376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103691
VA
101YP2500X
Professional Counselor
Primary
0701010838
VA
Other
Enumeration date
12/13/2022
Last updated
07/13/2026
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