person
Jimmy D Widener, LPC
Professional Counselor in Cedar Bluff, Virginia
NPI 1386684215

Jimmy D Widener is a Professional Counselor based in Cedar Bluff, VA and is specialized in Professional. Jimmy D Widener practices in Cedar Bluff, VA and has the professional credentials of LPC. The NPI Number for Jimmy D Widener is 1386684215 and holds a License No. VA0701003500 (Virginia).

The current practice location address for Jimmy D Widener is Rte 19 - 460, Cedar Bluff, VA and can be reached out via phone at 276-964-6702 and via fax at 276-964-5669.

Location: Rte 19 - 460, Cedar Bluff, VA, 24609
person
Provider Profile Details
NPI Number
1386684215
Provider Name
Jimmy D Widener
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
Rte 19 - 460, Cedar Bluff, VA, 24609
Phone Number
276-964-6702
Fax Number
276-964-5669
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278380 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
Rte 19 - 460
City
State
Zip
24609
Phone Number
276-964-6702
Fax Number
276-964-5669
person
Provider Business Mailing Address Details
Address
Rte 19 - 460
City
State
Zip
24609
Phone Number
276-964-6702
Fax Number
276-964-5669
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
VA0701003500 (Virginia)
Definition
Definition to come...
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