Individual
JESSE B VANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
44075 PIPELINE PLZ STE 220, ASHBURN, VA 20147-5890
(703) 283-9083
Mailing address
44075 PIPELINE PLZ STE 220, ASHBURN, VA 20147-5890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0906014121
VA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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