Individual
MRS. JODI LEE EANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
459 CARLISLE DR STE B, HERNDON, VA 20170-5607
(703) 424-3729
(703) 435-0114
Mailing address
1942 E BEECH RD, STERLING, VA 20164-1934
(703) 450-5247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003744
VA
Other
Enumeration date
08/10/2006
Last updated
06/03/2008
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