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Individual

JENNIFER CARLYSLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1524 WALNUT DR, CHESTER, VA 23836-6144
(540) 216-1793
Mailing address
1524 WALNUT DR, CHESTER, VA 23836-6144
(540) 216-1793

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
VA

Other

Enumeration date
06/21/2025
Last updated
06/25/2025
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