Provider Demographics
NPI:1750741955
Name:HILL, JACQUELINE J (LPC)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:J
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:105 NAT TURNER BLVD S
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2898
Mailing Address - Country:US
Mailing Address - Phone:757-599-0800
Mailing Address - Fax:757-599-0802
Practice Address - Street 1:105 NAT TURNER BLVD S
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2898
Practice Address - Country:US
Practice Address - Phone:757-599-0800
Practice Address - Fax:757-599-0802
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006401101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional