Individual
JENELLE CRESCIMBENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17932 FRALEY BLVD, DUMFRIES, VA 22026-2485
(571) 636-1800
Mailing address
15151 ATHEY LOOP, WOODBRIDGE, VA 22193-6231
(254) 466-7685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704015894
VA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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