Individual
JENNIFER ANNE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192-7667
(703) 688-8541
(703) 213-5025
Mailing address
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192-7667
(703) 688-8541
(703) 213-5025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VA
101YP2500X
Professional Counselor
Primary
0701013223
VA
Other
Enumeration date
12/29/2023
Last updated
05/09/2024
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