Individual
JADA LEE PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7599
(703) 204-9001
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(703) 289-7599
(703) 204-9001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011985
VA
101YM0800X
Mental Health Counselor
Primary
—
PA
101YP2500X
Professional Counselor
Primary
0701011985
VA
Other
Enumeration date
06/01/2020
Last updated
04/13/2026
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