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Individual

CASSIE JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, LPC, LSATP

Contact information

Practice address
6901 S VAN DORN ST, KINGSTOWNE, VA 22315-3961
(703) 313-6320
Mailing address
6901 S VAN DORN ST, KINGSTOWNE, VA 22315-3961

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000308
VA
101YP2500X
Professional Counselor
Primary
0701006554
VA

Other

Enumeration date
12/08/2016
Last updated
11/29/2023
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