Individual
JAN AUSTIN WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3400
(703) 746-3464
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3400
(703) 746-3464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447279658
—
VA
Enumeration date
06/11/2013
Last updated
06/11/2013
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