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Individual

JACQUELINE CARRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1800 DIAGONAL RD, SUITE 600 PMB 1139, ALEXANDRIA, VA 22314-2840
(703) 461-4975
Mailing address
1800 DIAGONAL RD, SUITE 600 PMB 1139, ALEXANDRIA, VA 22314-2840
(703) 261-4975

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011120
VA

Other

Enumeration date
02/01/2020
Last updated
11/01/2024
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