Organization
LADDERBOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILLIAN ANTOINETTE THERYON LCSW, LICSW, LCSW-C (PSYCHOTHERAPIST)
(202) 655-7138
Entity
Organization
Contact information
Practice address
4252 AIRLINE PKWY, CHANTILLY, VA 20151-3968
(202) 655-7138
Mailing address
4252 AIRLINE PKWY, CHANTILLY, VA 20151-3968
(202) 655-7138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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