Doctor Name: | DR. JENNIFER JORDAN DEL CORSO |
NPI Number: | 1548538986 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, PH.D. |
License Number: | 0701005073 |
Business Practice Address: | 707 Gum Rock Court Peninsula Pastoral Counseling Center Newport News, VA - 23606 |
Business Phone Number: | 7578732273 |
Business Fax Number: | 7578739422 |
Mailing Address: | 707 Gum Rock Court, Peninsula Pastoral Counseling Center NEWPORT NEWS |
State: | VA |
Postal Code: | 23606 |
Phone Number: | 7578732273 |
Fax Number: | 7578739422 |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701005073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |