Individual
MRS. KRISTEN MARIE JOBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14701 COLLINGTON TURN, MIDLOTHIAN, VA 23112-1584
(804) 774-5017
Mailing address
14701 COLLINGTON TURN, MIDLOTHIAN, VA 23112-1584
(804) 774-5017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701009646
VA
101YP2500X
Professional Counselor
Primary
0701009646
VA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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