Organization
CATHIEPWELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADA LEE PANNELL LPC (CEO)
(703) 216-1700
Entity
Organization
Contact information
Practice address
440 MONTICELLO AVE STE 1802, NORFOLK, VA 23510-2670
(703) 216-1700
Mailing address
12897 SUNRISE RIDGE ALY, HERNDON, VA 20171-6290
(412) 694-6627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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