Individual
JESSICA MACNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2762 MARSHALL ST, FALLS CHURCH, VA 22042-2003
(571) 335-0423
Mailing address
2762 MARSHALL ST, FALLS CHURCH, VA 22042-2003
(571) 335-0423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004421
VA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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