Healthcare Provider Details

I. General information

NPI: 1114563525
Provider Name (Legal Business Name): JAMIE TERESA RICE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 JACKSON RIVER RD
MONTEREY VA
24465-2416
US

IV. Provider business mailing address

PO BOX 490
MONTEREY VA
24465-0490
US

V. Phone/Fax

Practice location:
  • Phone: 540-468-6400
  • Fax: 540-468-3301
Mailing address:
  • Phone: 540-468-6400
  • Fax: 540-468-3301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1114563525
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2451
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: