Jimmy D Widener, LPC
NPI #1386684215 in Cedar Bluff, Virginia
Provider Information
- NPI Number
- 1386684215
- Entity Type
- Individual
- Name
- Jimmy D Widener, LPC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- RTE 19 - 460
- City
- Cedar Bluff
- State
- Virginia
- ZIP Code
- 24609
- Phone
- (276) 964-6702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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