Individual
JACKLYN ANN ROTHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
9120 FISTERIS CT, SPRINGFIELD, VA 22152-2112
(609) 727-9257
Mailing address
9120 FISTERIS CT, SPRINGFIELD, VA 22152-2112
(609) 727-9257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT-358
HI
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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