Individual
DR. JESSICA S HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8140 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5698
(713) 252-4647
Mailing address
15400 SNOWHILL LN, CENTREVILLE, VA 20120-1147
(713) 252-4647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005389
VA
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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