Search › Virginia › 174N00000X
Jessica Bouldin, CLC, CD
NPI 1174223358 · on the registry since 2023 · sole proprietor
Practice
- Address
- 102 Apache Trail
Winchester, VA 22602 - Phone
- (540) 222-8700
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Also registered as
- 374J00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia