Individual
JENNA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8814 FARGO RD STE 125, RICHMOND, VA 23229-4628
(804) 322-9955
Mailing address
8814 FARGO RD STE 125, RICHMOND, VA 23229-4628
(804) 322-9955
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
04/01/2024
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