Individual
JENNIFER M-E RUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESIDENT IN MFT
Contact information
Practice address
13895 HEDGEWOOD DR, SUITE 229, WOODBRIDGE, VA 22193-7924
(571) 659-9961
(571) 659-9964
Mailing address
13895 HEDGEWOOD DR, SUITE 229, WOODBRIDGE, VA 22193-7924
(571) 659-9961
(571) 659-9964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/11/2016
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