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Individual

JEFFREY ADAM BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-R, M.A., CCISM

Contact information

Practice address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(855) 326-4673
Mailing address
631 LESLIE ST, MARION, VA 24354-2211
(540) 817-9736

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016324
VA

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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