Individual
JENNIFER RIQUELME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5505 ROBIN HOOD RD STE C1, NORFOLK, VA 23513-2423
(757) 823-1630
Mailing address
5505 ROBIN HOOD RD STE C1, NORFOLK, VA 23513-2423
(757) 823-1630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005272
VA
101YP2500X
Professional Counselor
0701005272
VA
Other
Enumeration date
07/28/2014
Last updated
12/18/2023
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