Individual
JESSICA CAROLINA LOPEZ-ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
3908 VERMONT AVE, ALEXANDRIA, VA 22304-6325
(703) 439-7700
Mailing address
3908 VERMONT AVE, ALEXANDRIA, VA 22304-6325
(703) 439-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC15138
DC
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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