Individual
JESSICA LYNN MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014089
VA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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