Individual
MS. LILLIAN MAE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8134 OLD KEENE MILL RD STE 101, SPRINGFIELD, VA 22152-1849
(703) 569-8731
Mailing address
6508 WAYSIDE PL, ALEXANDRIA, VA 22310-2864
(703) 785-4512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010062
VA
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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