| Mr Jacob Hudson, LPC | |
|
504 Wilborn Ave, South Boston, VA 24592-3120 | |
| (434) 517-3653 | |
| (434) 517-3043 |
| Full Name | Mr Jacob Hudson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 504 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023618204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701010038 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Halifax Regional Hospital Inc | 4587572805 | 25 |
| Entity Name | Halifax Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Hudson, LPC 504 Wilborn Ave, South Boston, VA 24592-3120 Ph: (434) 517-3653 | Mr Jacob Hudson, LPC 504 Wilborn Ave, South Boston, VA 24592-3120 Ph: (434) 517-3653 |
Miss Rita Kay Lynch, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3654 | |
Shavia Truesdale-el, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Valley Dr, South Boston, VA 24592 Phone: 434-222-4610 | |
Anne Leggett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 554 N Main St, Suite 211, South Boston, VA 24592 Phone: 434-572-8000 | |
Matthew Owen, Counselor Medicare: May Accept Medicare Assignments Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3020 | |
Hillary Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-476-5526 Fax: 434-374-7804 | |
Mr. Norman Scott Spencer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3651 Fax: 434-517-3043 |