Individual
EBONY C FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
(571) 536-0764
Mailing address
8119 HOLLAND RD, ALEXANDRIA, VA 22306-3135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012835
VA
Other
Enumeration date
10/04/2022
Last updated
12/21/2023
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