Provider Demographics
NPI:1841705365
Name:HUNT, JESSICA ALEXANDRIA (LPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ALEXANDRIA
Last Name:HUNT
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 1:218 HARRIER ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1853
Mailing Address - Country:US
Mailing Address - Phone:757-582-6604
Mailing Address - Fax:
Practice Address - Street 1:345 CHAPPELL RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6533
Practice Address - Country:US
Practice Address - Phone:404-921-9598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014425101YM0800X
VA0701008383101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health