Individual
JENNA SANGASTIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N WASHINGTON ST, FALLS CHURCH, VA 22046-3514
(703) 522-1175
Mailing address
902 I ST SE, WASHINGTON, DC 20003-2826
(347) 678-5929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102818
VA
101YM0800X
Mental Health Counselor
Primary
0701007046
VA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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