| Jessica F Summers Lcsw Llc | |
|
9327 Midlothian Tpke Ste 2g North Chesterfield VA 23235-4944 | |
| (804) 277-9034 | |
| Not Available |
| Full Name | Jessica F Summers Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9327 Midlothian Tpke Ste 2g, North Chesterfield, Virginia |
| Authorized Official Name and Position | Jessica Faye Summers (OWNER) |
| Authorized Official Contact | 4344666895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica F Summers Lcsw Llc 2356 Schenley Dr North Chesterfield VA 23235-3318 Ph: (434) 466-6895 | Jessica F Summers Lcsw Llc 9327 Midlothian Tpke Ste 2g North Chesterfield VA 23235-4944 Ph: (804) 277-9034 |
| NPI Number | 1548766231 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 04/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548766231 | NPI | - | NPPES |
| 0904007055 | Other | VA | STATE LICENSE BOARD OF HEALTH PROFESSIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007055 (Virginia) | Primary |
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