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Individual

BRIANNA R JARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
40 LIBERTY ST, PETERSBURG, VA 23803-5021
(804) 520-6868
(804) 526-7954
Mailing address
40 LIBERTY ST, PETERSBURG, VA 23803-5021
(804) 520-6868
(804) 526-7954

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TF0200X
Forensic Psychologist
106H00000X
Marriage & Family Therapist
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2014
Last updated
07/25/2014
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