Amber Jack is a Counselor based in Lynchburg, VA. Amber Jack practices in Lynchburg, VA. The NPI Number for Amber Jack is 1760082846 and holds a License No. 0701010041 (Virginia).
The current practice location address for Amber Jack is 1000 Jefferson St Ste 2C, Lynchburg, VA and can be reached out via phone at 540-217-6461.
Location: 1000 Jefferson St Ste 2C, Lynchburg, VA, 24504-1724
Provider Profile Details
NPI Number
1760082846
Provider Name
Amber Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Jefferson St Ste 2C, Lynchburg, VA, 24504-1724
Phone Number
540-217-6461
Fax Number
Provider Enumeration Date
10/28/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1000 Jefferson St Ste 2C
City
State
Zip
24504-1724
Phone Number
540-217-6461
Fax Number
Provider Business Mailing Address Details
Address
1000 Jefferson St Ste 2C
City
State
Zip
24504-1724
Phone Number
540-217-6461
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
0701010041 (Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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