Provider Demographics
NPI:1841922861
Name:FRANKLIN, JEANEL (MS ED, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JEANEL
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MS ED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4869 TRAVERTINE AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4418
Mailing Address - Country:US
Mailing Address - Phone:703-283-7054
Mailing Address - Fax:
Practice Address - Street 1:3149 SHORE DR STE C
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-1129
Practice Address - Country:US
Practice Address - Phone:757-739-8694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional