Individual
JENNIFER D SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14900 BOGLE DR STE 200, CHANTILLY, VA 20151-1757
(703) 817-9890
Mailing address
14900 BOGLE DR STE 200, CHANTILLY, VA 20151-1757
(703) 817-9890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102830
VA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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