Individual
JEANNIE FITZGERALD WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, M.ED
Contact information
Practice address
11150 SUNSET HILLS RD STE 140, RESTON, VA 20190-5321
(703) 471-5517
(703) 481-8197
Mailing address
11150 SUNSET HILLS RD STE 140, RESTON, VA 20190-5321
(703) 471-5517
(703) 481-8197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704016065
VA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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