Organization
JAXCYN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TA'WANE WATKINS LICSW (THERAPIST)
(571) 867-0075
Entity
Organization
Contact information
Practice address
4300 C ST SE, WASHINGTON, DC 20019-4100
(571) 867-0075
Mailing address
1520 BELLE VIEW BLVD # 5011, ALEXANDRIA, VA 22307-6530
(571) 867-0075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
03/27/2024
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