Individual
JORDYN NICHOLE DAVIS-POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2680 OPITZ BLVD STE 220, WOODBRIDGE, VA 22192-6822
(541) 761-2892
Mailing address
PSC 473 BOX 5273, FPO, AP 96349-0053
(541) 761-2892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904012485
VA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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