Juniper Tree Llc

Specialty details in registry · Portsmouth, VA

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At a glance

348 Broad St, Portsmouth, VA 23707

NPPES record updated May 23, 2023. Public records can lag behind changes at a practice.

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Practice location

348 Broad St
Portsmouth, VA 23707
Professional details: NPI, taxonomy & registry record
NPI1437674900
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101Y00000X
Enumeration date
Aug 7, 2017
Record updated
May 23, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X · Primary

Mental Health Counselor

101YM0800X

Specialty details in registry

101YP1600X

Specialty details in registry

251E00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

348 Broad St
Portsmouth, VA 23707
Phone
(757) 619-0658
Mailing address
1119 LAKEVIEW DR

PORTSMOUTH, VA 237013610
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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