Individual
MS. JEANNINE REESE COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC CSAC
Contact information
Practice address
12890 HARBOR DRIVE, WOODBRIDGE, VA 22192
(703) 490-3210
Mailing address
12890 HARBOR DRIVE, WOODBRIDGE, VA 22192
(703) 490-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710000851
VA
101YP2500X
Professional Counselor
0701002395
VA
Other
Enumeration date
11/20/2006
Last updated
09/11/2025
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