Individual
JENELLE LYNN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, LCSW
Contact information
Practice address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
(434) 220-0103
Mailing address
3040 AVEMORE SQUARE PL, CHARLOTTESVILLE, VA 22911-7228
(434) 220-0089
(434) 220-0103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
1041C0700X
Clinical Social Worker
0904014105
VA
Other
Enumeration date
11/16/2017
Last updated
02/28/2023
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