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Individual

MR. JAMAL R. FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
3162 PATRICK HENRY DR, FALLS CHURCH, VA 22044-1825
(562) 371-5144
Mailing address
3162 PATRICK HENRY DR, FALLS CHURCH, VA 22044-1825
(562) 371-5144

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
0904018256
VA
1041C0700X
Clinical Social Worker
LCSW-5046
HI

Other

Enumeration date
02/14/2013
Last updated
07/11/2025
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