MEDICARE: MS. JANE MARIE FETTERMAN L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701005127	VA

General Provider Information

NPI Number	:	1235567884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE MARIE FETTERMAN L.P.C.

Provider Business Mailing Address
First Line	:	PO BOX 63
Second Line	:
City	:	LINVILLE
State	:	VA
Zip	:	22834-0063
Country	:	US
Telephone Number	:	540-820-9886
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 GENERAL DR STE 300
Second Line	:
City	:	LURAY
State	:	VA
Zip	:	22835-5263
Country	:	US
Telephone Number	:	540-743-4548
Fax Number	:	540-743-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2013
Last Update Date	:	12/02/2025

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