Individual
JEREMY POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3617 BUTTERMILK CREEK RD, ROCKINGHAM, VA 22802-1022
(540) 830-1777
(540) 466-1770
Mailing address
5530 GLADEVIEW DR, BRIDGEWATER, VA 22812-9701
(540) 830-1777
(540) 466-1770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007197
VA
Other
Enumeration date
07/24/2017
Last updated
03/17/2018
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