Individual
JESSICA C JEMMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16178 RAPTOR CREST LN, WOODBRIDGE, VA 22193-5794
(610) 470-6613
Mailing address
44715 PRENTICE DR PO BOX 142, DULLES, VA 20101-0001
(703) 345-4018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010114
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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