Provider Demographics
NPI:1811748338
Name:J. HAM COUNSELING
Entity type:Organization
Organization Name:J. HAM COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CSAC
Authorized Official - Phone:804-449-7376
Mailing Address - Street 1:2972 RIVER ROAD W
Mailing Address - Street 2:P.O. BOX 1090
Mailing Address - City:GOOCHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23063
Mailing Address - Country:US
Mailing Address - Phone:804-449-7376
Mailing Address - Fax:
Practice Address - Street 1:2815 PRESTON PARK WAY
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:VA
Practice Address - Zip Code:23153-2265
Practice Address - Country:US
Practice Address - Phone:804-449-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health