Individual
MEGAN LEIGH MCFADDEN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
410 MADDOX RD, GLADYS, VA 24554-3030
(434) 435-1517
Mailing address
410 MADDOX RD, GLADYS, VA 24554-3030
(434) 435-1517
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009844
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701009844
STATE OF VIRGINIA.
VA
Enumeration date
10/09/2020
Last updated
10/09/2020
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