| The Lamp Counseling Center | |
|
16178 Raptor Crest Ln Woodbridge VA 22193-5794 | |
| (610) 470-6613 | |
| Not Available |
| Full Name | The Lamp Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16178 Raptor Crest Ln, Woodbridge, Virginia |
| Authorized Official Name and Position | Jessica Jemmott (OWNER, PROVIDER) |
| Authorized Official Contact | 6104706613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lamp Counseling Center 16178 Raptor Crest Ln Woodbridge VA 22193-5794 Ph: (610) 470-6613 | The Lamp Counseling Center 16178 Raptor Crest Ln Woodbridge VA 22193-5794 Ph: (610) 470-6613 |
| NPI Number | 1770170730 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 12/24/2020 |
| Certification Date | 12/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770170730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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