Individual
JASMINE APPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121
(571) 338-2604
Mailing address
13890 BRADDOCK RD STE 312, CENTREVILLE, VA 20121-2438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005273
VA
Other
Enumeration date
07/03/2017
Last updated
04/08/2019
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