Individual
JENNIFER KAYE FARISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5673 AIRPORT RD, ROANOKE, VA 24012-1119
(540) 344-7700
Mailing address
4822 CANDLELIGHT CIR, ROANOKE, VA 24019-2560
(540) 581-6203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010815
VA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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