Individual
MRS. JEWELLE DAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
7230 HERITAGE VILLAGE PLZ STE 202, GAINESVILLE, VA 20155-3054
(703) 754-0636
Mailing address
7230 HERITAGE VILLAGE PLZ STE 202, GAINESVILLE, VA 20155-3054
(703) 754-0636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005452
VA
Other
Enumeration date
06/06/2013
Last updated
07/22/2020
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