Individual
JACQUELINE ANN NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
719 G ST NE, WASHINGTON, DC 20002-3605
(703) 838-4455
(703) 838-5070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04466
MD
103TC0700X
Clinical Psychologist
Primary
0810003870
VA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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