Doctor Name: | LAUREN P JENNINGS |
NPI Number: | 1003825084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LMFT, CEAP |
License Number: | 0701000688 |
Business Practice Address: | 420 N Center Dr Suite 141 Interstate Corporate Center Building 11 Norfolk, VA - 23502 |
Business Phone Number: | 7574660700 |
Business Fax Number: | 7574614826 |
Mailing Address: | 420 N Center Dr Suite 141, Interstate Corporate Center Building 11 NORFOLK |
State: | VA |
Postal Code: | 23502 |
Phone Number: | 7574660700 |
Fax Number: | 7574614826 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701000688 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |