Individual
JESSIE BOHNENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44135 WOODRIDGE PKWY STE 260, LEESBURG, VA 20176-1244
(504) 330-6596
Mailing address
1106 HOMERIC ST SE, LEESBURG, VA 20175-5126
(504) 330-6596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008265
VA
101YP2500X
Professional Counselor
5860
LA
Other
Enumeration date
02/28/2014
Last updated
01/31/2023
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