Individual
LAURA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13130 MALTESE LN, FAIRFAX, VA 22033-3719
(571) 317-1597
Mailing address
13130 MALTESE LN, FAIRFAX, VA 22033-3719
(571) 317-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007812
VA
Other
Enumeration date
12/06/2016
Last updated
12/14/2020
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