Individual
JENNIFER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(703) 246-2100
Mailing address
8221 WILLOW OAKS CORPORATE DRIVE, CSB JAIL DIVERSION- 2 EAST, FAIRFAX, VA 22031
(703) 207-7706
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001999
VA
Other
Enumeration date
08/27/2021
Last updated
05/28/2024
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