Individual
JENNIFER A FACTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2293
MD
101YP2500X
Professional Counselor
PRC14095
DC
Other
Enumeration date
01/13/2007
Last updated
11/10/2010
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