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Individual

MRS. JENNIE PATTERSON POLIZZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
15812 AERIAL VIEW RD, WOODBRIDGE, VA 22193-5892
(703) 314-4448
Mailing address
15812 AERIAL VIEW RD, WOODBRIDGE, VA 22193-5892
(703) 314-4448

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010792
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701010792
VIRGINIA BOARD OF COUNSELING/ NBCC
VA
Enumeration date
09/21/2021
Last updated
09/21/2021
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