Individual
MRS. JEANNIE HASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 219-2574
(703) 591-5775
Mailing address
10390 DEMOCRACY LN, FAIRFAX, VA 22030-2522
(703) 246-2892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
07/27/2011
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