Individual
MS. ANA MILENA JACOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1850 CAMERON GLEN DR, 600, RESTON, VA 20190-3363
(703) 481-4114
Mailing address
1850 CAMERON GLEN DR, RESTON, VA 20190-3363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005065
VA
101YP2500X
Professional Counselor
Primary
0701005065
VA
Other
Enumeration date
10/05/2011
Last updated
01/04/2024
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