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Individual

MRS. KRISTINA JORDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2 HERBERT ST, ALEXANDRIA, VA 22305
(703) 829-0431
Mailing address
14497 POTOMAC MILLS RD # 1030, WOODBRIDGE, VA 22192-6807

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904011441
VA
1041C0700X
Clinical Social Worker
0904011441
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
844864334
KRISTINA JORDEN
VA
Enumeration date
01/14/2020
Last updated
07/01/2022
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