Provider Demographics
NPI:1447341813
Name:ABRAMS, JENNIE A (LPC)
Entity type:Individual
Prefix:MISS
First Name:JENNIE
Middle Name:A
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 THIMBLE SHOALS BLVD STE C-6
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2576
Mailing Address - Country:US
Mailing Address - Phone:757-876-7194
Mailing Address - Fax:
Practice Address - Street 1:703 THIMBLE SHOALS BLVD STE C-6
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2576
Practice Address - Country:US
Practice Address - Phone:757-876-7194
Practice Address - Fax:757-876-7194
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003394101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor