Organization · Type 2 NPI
Diana Jamison LCSW PLLC
Adult Mental Health Clinic/Center · Kilmarnock, VA
NPI number
1114184165
Active
Practice location
25 Office Park Drive
Kilmarnock, VA 22482-0877
Fax (804) 435-6836
Mailing address
PO Box 877
Kilmarnock, VA 22482-0877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 0904000993 (VA) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 0904000993 (VA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1114184165
Diana Jamison LCSW PLLC's National Provider Identifier is 1114184165, issued on May 19, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Kilmarnock, VA. The record was last updated on May 19, 2008.