Individual
MISS JESSICA SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 CHURCH ST NW STE 205, VIENNA, VA 22180-4550
(571) 261-7764
Mailing address
2000 RIVERSIDE DR APT 14M, RICHMOND, VA 23225-3671
(571) 730-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017938
VA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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