Individual
JENNIFER RADNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7450 HERITAGE VILLAGE PLZ UNIT 101, GAINESVILLE, VA 20155-3091
(571) 261-1921
Mailing address
7308 RESPITE CT, GAINESVILLE, VA 20155-4841
(571) 292-6167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009064
VA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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