Individual
MRS. JENNIFER A MIXAN-DARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
5821 STAPLES MILL RD, RICHMOND, VA 23228
(804) 822-9764
(804) 264-1029
Mailing address
5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
(804) 822-9764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005390
VA
Other
Enumeration date
01/09/2013
Last updated
11/09/2024
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