Individual
JESSICA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 644-6391
(757) 622-2011
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 644-6391
(757) 622-2011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861562472
—
VA
Enumeration date
04/28/2014
Last updated
02/27/2023
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