MEDICARE: OLIVIA JENNINGS

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	101YM0800X	Mental Health Counselor		VA

General Provider Information

NPI Number	:	1447109871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA JENNINGS

Provider Business Mailing Address
First Line	:	346 RODEFER ST SW
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-3128
Country	:	US
Telephone Number	:	276-759-1037
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 VALLEY ST NE
Second Line	:
City	:	ABINGDON
State	:	VA
Zip	:	24210-2832
Country	:	US
Telephone Number	:	276-298-5034
Fax Number	:

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “ OLIVIA JENNINGS ” Practice Location

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