Individual
JENNIFER FREDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, M.DIV
Contact information
Practice address
1716 CHAIN BRIDGE RD, MC LEAN, VA 22101-4322
(703) 903-9696
(703) 821-2505
Mailing address
PO BOX QQ, MC LEAN, VA 22101-0700
(703) 903-9696
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701006603
VA
Other
Enumeration date
03/04/2016
Last updated
05/23/2016
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