Individual
JADE MICHAELA LEAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
21351 GENTRY DR STE 200, STERLING, VA 20166-8512
(703) 493-0891
Mailing address
4022 POMEL DR, COLLEGE STATION, TX 77845-5099
(540) 908-6846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014029
VA
101YP2500X
Professional Counselor
93799
TX
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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