Individual
JESSICA MARIE VENGLARCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW, MSSA
Contact information
Practice address
3846 KING ST, ALEXANDRIA, VA 22302-1906
(703) 879-4441
(703) 574-2240
Mailing address
PO BOX 16038, ALEXANDRIA, VA 22302-8038
(703) 879-4441
(703) 574-2240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009009
VA
1041C0700X
Clinical Social Worker
LC50078761
DC
Other
Enumeration date
08/31/2020
Last updated
10/22/2021
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