Individual
JENNIFER DISHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9846 LORI RD STE 201, CHESTERFIELD, VA 23832-6695
(804) 419-4122
Mailing address
9846 LORI RD STE 201, CHESTERFIELD, VA 23832-6695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009712
VA
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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