| Jban, Llc | |
|
201 College Pl Norfolk VA 23510-0914 | |
| (757) 447-4480 | |
| Not Available |
| Full Name | Jban, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 College Pl, Norfolk, Virginia |
| Authorized Official Name and Position | Marybeth R Gingrich (FOUNDER) |
| Authorized Official Contact | 7574474480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jban, Llc 201 W Tazewell St Apt 307 Norfolk VA 23510-1319 Ph: (757) 447-4480 | Jban, Llc 201 College Pl Norfolk VA 23510-0914 Ph: (757) 447-4480 |
| NPI Number | 1639938178 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639938178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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