Individual
JESSICA SPECKHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 CHAIN BRIDGE RD, MC LEAN, VA 22101-5704
(571) 218-0850
Mailing address
1839 MACARTHUR DR, MC LEAN, VA 22101-5339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704014335
VA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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