person
Mr. Jacob Hudson, LPC
Professional Counselor in South Boston, Virginia
NPI 1023618204

Jacob Hudson is a Professional Counselor based in South Boston, VA and is specialized in Professional. Jacob Hudson practices in South Boston, VA and has the professional credentials of LPC. The NPI Number for Jacob Hudson is 1023618204 and holds a License No. 0701010038 (Virginia).

The current practice location address for Jacob Hudson is 504 Wilborn Ave, South Boston, VA and can be reached out via phone at 434-517-3653 and via fax at 434-517-3043.

Location: 504 Wilborn Ave, South Boston, VA, 24592-3120
person
Provider Profile Details
NPI Number
1023618204
Provider Name
Jacob Hudson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
504 Wilborn Ave, South Boston, VA, 24592-3120
Phone Number
434-517-3653
Fax Number
434-517-3043
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
504 Wilborn Ave
City
State
Zip
24592-3120
Phone Number
434-517-3653
Fax Number
434-517-3043
person
Provider Business Mailing Address Details
Address
504 Wilborn Ave
City
State
Zip
24592-3120
Phone Number
434-517-3653
Fax Number
434-517-3043
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701010038 (Virginia)
Definition
Definition to come...
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