IndividualActive
Amber Jack
NPI 1760082846 · Counselor · Lynchburg, VA
Provider details
- NPI number
- 1760082846
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0701010041 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1000 Jefferson St Ste 2c
Lynchburg, VA 24504-1724
Phone: (540) 217-6461
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Jefferson St Ste 2c
Lynchburg, VA 24504-1724
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.