Individual
JACLYN ELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 MAIN ST STE 202, WARRENTON, VA 20186-3366
(571) 469-8692
Mailing address
81 HIGH ST APT D, WARRENTON, VA 20186-2910
(571) 469-8692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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