Individual
DR. JENNIFER SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PSY.D.
Contact information
Practice address
9329 BATTLE ST, MANASSAS, VA 20110-5101
(703) 402-7232
Mailing address
9229 PORTNER AVE, MANASSAS, VA 20110-5046
(703) 402-7232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
07/23/2021
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