Individual
MS. JISEL JULIANA PERILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(571) 585-6537
Mailing address
1204 MAPLE AVE, RICHMOND, VA 23226-2503
(703) 459-8708
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011994
VA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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