Individual
JESSICA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LPC, NCC
Contact information
Practice address
1593 SPRING HILL RD STE 705, VIENNA, VA 22182-2289
(704) 844-3620
Mailing address
1593 SPRING HILL RD STE 705, VIENNA, VA 22182-2289
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15756
NC
101YP2500X
Professional Counselor
Primary
0701013270
VA
Other
Enumeration date
07/14/2020
Last updated
12/04/2025
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