Individual provider · Type 1 NPI

Jazmine Camille Wood

Mental Health Counselor · Petersburg, VA

NPI number 1376206102 Active

Practice location

408 S Sycamore St Ste 4
Petersburg, VA 23803-5043

Call (804) 668-7217 Map

Mailing address

PO Box 613
Colonial Heights, VA 23834-0613

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704012204 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1376206102

Jazmine Camille Wood's National Provider Identifier is 1376206102, issued on Oct 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petersburg, VA. The record was last updated on Oct 19, 2021.