JESSICA HAASE KETOLA LPC NPI 1275971186

NPI Information

NPI: 1275971186
Provider Name: JESSICA HAASE KETOLA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
125 RIVERBEND DR STE 2
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 249-9028
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Jessica Haase Ketola, LPC is a professional counselor in Charlottesville, VA. Jessica Haase Ketola, LPC NPI is 1275971186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 RIVERBEND DR STE 2
CHARLOTTESVILLE, VA
ZIP 22911-695
Phone: (434) 249-9028
Fax: (434) 961-2556

The enumeration date for this NPI number is 6/13/2013 and was last updated on 6/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701005483	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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