Individual provider · Type 1 NPI

Jacob Hudson, LPC

Professional Counselor · South Boston, VA

NPI number 1023618204 Active

Practice location

504 Wilborn Ave
South Boston, VA 24592-3120

Fax (434) 517-3043

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701010038 (VA)

Professional Counselor: Definition to come...

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About NPI 1023618204

Jacob Hudson, LPC's National Provider Identifier is 1023618204, issued on Oct 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Boston, VA. The record was last updated on Oct 28, 2020.