Individual
MS. JILL KOCANYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3921 PROSPERITY AVE, FAIRFAX, VA 22031-3329
(708) 280-0237
Mailing address
3921 PROSPERITY AVE, FAIRFAX, VA 22031-3329
(703) 280-0237
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011389
VA
101YP2500X
Professional Counselor
E.1901070
OH
101YP2500X
Professional Counselor
PRC200012508
DC
Other
Enumeration date
03/08/2017
Last updated
10/29/2025
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