Individual
MRS. JAQUELINE OLIVEIRA BARONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 559-3000
Mailing address
300 LENORA ST, PMB 6172, SEATTLE, WA 98121-2411
(206) 457-3133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH.61242000
WA
101YP2500X
Professional Counselor
Primary
0701013963
VA
Other
Enumeration date
11/11/2021
Last updated
10/03/2024
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