Doctor Name: | MS. JANE C PROBST |
NPI Number: | 1023357266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904008147 |
Business Practice Address: | 206 W Edmondson St Culpeper, VA - 227012618 |
Business Phone Number: | 5408277395 |
Business Fax Number: | 5405189102 |
Mailing Address: | 19223 Belle Claire Road, CULPEPER |
State: | VA |
Postal Code: | 22701 |
Phone Number: | 5408277395 |
Fax Number: | 5405189102 |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904008147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |