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Diana Jamison Lcsw Pllc
Adolescent and Children Mental Health Clinic/Center in Kilmarnock, Virginia
NPI 1114184165

Diana Jamison Lcsw Pllc is an Adolescent and Children Mental Health Clinic/Center based in Kilmarnock, VA and is specialized in Adolescent and Children Mental Health. Diana Jamison Lcsw Pllc practices in Kilmarnock, VA. The NPI Number for Diana Jamison Lcsw Pllc is 1114184165 and holds a License No. 0904000993 (Virginia).

The current practice location address for Diana Jamison Lcsw Pllc is 25 Office Park Drive, Kilmarnock, VA and can be reached out via phone at 804-436-9218 and via fax at 804-435-6836.

Location: 25 Office Park Drive, Kilmarnock, VA, 22482-0877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114184165
Provider Name
Diana Jamison Lcsw Pllc
Credential
Provider Entity Type
Organization
Address
25 Office Park Drive, Kilmarnock, VA, 22482-0877
Phone Number
804-436-9218
Fax Number
804-435-6836
Provider Enumeration Date
05/19/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
25 Office Park Drive
City
Kilmarnock
State
Virginia
Zip
22482-0877
Phone Number
804-436-9218
Fax Number
804-435-6836
person
Provider Business Mailing Address Details
Address
25 Office Park Drive
City
Kilmarnock
State
Virginia
Zip
22482-0877
Phone Number
804-436-9218
Fax Number
804-435-6836
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
0904000993 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0904000993 (Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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