JIMMY D WIDENER

CEDAR BLUFF, VA
NPI1386684215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: VA  VA0701003500)
Enumeration Date2006-06-08
Last Update Date2007-07-08
Business Address
-- JIMMY D WIDENER LPC
RTE 19 - 460
CEDAR BLUFF, VA 24609
Phone number: 276-964-6702
Mailing Address
-- JIMMY D WIDENER LPC
PO BOX 810
CEDAR BLUFF, VA 24609
Phone number: 276-964-6702