Individual
MRS. JACLYN MICHELLE SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC, LCPAT
Contact information
Practice address
5101A BACKLICK RD, ANNANDALE, VA 22003-6080
(571) 418-1714
(703) 333-5023
Mailing address
5101A BACKLICK RD, ANNANDALE, VA 22003-6080
(571) 418-1714
(703) 333-5023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006837
VA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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