Individual
MRS. TAYLOR ASHLEY JACQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6340 CENTER DR STE 100, NORFOLK, VA 23502-0008
(703) 466-5150
Mailing address
1406 MELROSE PKWY, NORFOLK, VA 23508-1706
(757) 753-6957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014652
VA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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