Individual
MR. JEAN-ANDRE CONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953
Mailing address
12254 PURCELL RD, MANASSAS, VA 20112-3213
(571) 502-5159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009939
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904009939
VIRGINIA BOARD OF SOCIAL WORK
VA
Enumeration date
02/12/2007
Last updated
07/21/2022
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