Individual
JENNIFER M BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, HCHI
Contact information
Practice address
46691 CAVENDISH SQ, STERLING, VA 20165
(404) 323-4504
Mailing address
46691 CAVENDISH SQ, STERLING, VA 20165-4324
(404) 323-4504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174H00000X
Health Educator
Primary
221
CA
374J00000X
Doula
—
—
Other
Enumeration date
06/20/2018
Last updated
08/06/2018
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