Individual
COURTNEY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8626 LEE HWY STE 200, FAIRFAX, VA 22031-2135
(703) 560-2600
Mailing address
8626 LEE HWY STE 200, FAIRFAX, VA 22031-2135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904010046
VA
1041S0200X
School Social Worker
0904010046
VA
Other
Enumeration date
11/07/2017
Last updated
08/01/2023
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