Organization
J L FRISTAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE L FRISTAD LCSW (EXECUTIVE OFFICER)
(703) 474-6202
Entity
Organization
Contact information
Practice address
2 CARDINAL PARK DR SE STE 104A, LEESBURG, VA 20175-4448
(703) 980-9715
Mailing address
1206 MUSKET CT NE, LEESBURG, VA 20176-4805
(703) 474-6202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
09/14/2022
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