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Organization

PEMBROKE PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAN E EDWARDS LMFT (PSYCHOTHERAPIST, OWNER)
(502) 693-3760
Entity
Organization

Contact information

Practice address
4605 PEMBROKE LAKE CIR STE 103C, VIRGINIA BEACH, VA 23455-6434
(502) 693-3760
(757) 904-0830
Mailing address
4605 PEMBROKE LAKE CIR STE 103C, VIRGINIA BEACH, VA 23455-6434
(502) 693-3760
(757) 904-0830

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/21/2020
Last updated
06/21/2020
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