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Individual

JACLYN MOURAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
16 IVY RIDGE LN STE A14, FISHERSVILLE, VA 22939-2354
(540) 221-1846
Mailing address
16 IVY RIDGE LN STE A14, FISHERSVILLE, VA 22939-2354
(540) 221-1846

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810007904
VA
103TC0700X
Clinical Psychologist
0810007904
VA
171400000X
Health & Wellness Coach

Other

Enumeration date
07/29/2022
Last updated
04/25/2025
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