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NPI Code Detail

MEDICARE: JEFFREY ATKISSON LPC

MEDICARE: JEFFREY ATKISSON LPC
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
1101YP2500XProfessional Counselor0701008999VA

General Provider Information

NPI Number : 1629604244
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY ATKISSON LPC
Provider Business Mailing Address
First Line : 3700 HASTINGS DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 HASTINGS DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1722
Country : US
Telephone Number : 703-582-8542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2020
Last Update Date : 03/15/2020

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Directions to “ JEFFREY ATKISSON LPC” Practice Location

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