Hudson, Jacob

Hudson, Jacob is an individual health care provider with primary practice located at 504 Wilborn Ave , South Boston VA 24592-3120. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Hudson, Jacob can be contacted via phone (434) 517-3653.

Contact Information

Primary practice address
504 Wilborn Ave South Boston VA 24592-3120
Phone: (434) 517-3653
Fax: (434) 517-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701010038 Virginia

Profile Details

NPI number 1023618204
LBN Legal business name Hudson, Jacob
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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