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Jennifer Modica
Professional Counselor in Chesapeake, Virginia
NPI 1629545066

Jennifer Modica is a Professional Counselor based in Chesapeake, VA and is specialized in Professional. Jennifer Modica practices in Chesapeake, VA. The NPI Number for Jennifer Modica is 1629545066 and holds a License No. 0701007006 (Virginia).

The current practice location address for Jennifer Modica is 224 Great Bridge Blvd, Chesapeake, VA and can be reached out via phone at 757-547-9334.

Location: 224 Great Bridge Blvd, Chesapeake, VA, 23320-3904
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Provider Profile Details
NPI Number
1629545066
Provider Name
Jennifer Modica
Credential
Provider Entity Type
Individual
Gender
Female
Address
224 Great Bridge Blvd, Chesapeake, VA, 23320-3904
Phone Number
757-547-9334
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073650099 05 VA
institution
Provider Business Practice Location Address Details
Address
224 Great Bridge Blvd
City
State
Zip
23320-3904
Phone Number
757-547-9334
Fax Number
person
Provider Business Mailing Address Details
Address
224 Great Bridge Blvd
City
State
Zip
23320-3904
Phone Number
757-547-9334
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701007006 (Virginia)
Definition
Definition to come...
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