Individual
MS. JILLIAN ANTOINETTE THERYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
1235 S CLARK ST, ARLINGTON, VA 22202-3296
(202) 655-7138
Mailing address
1235 S CLARK ST, ARLINGTON, VA 22202-3296
(860) 597-6037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010192
CT
1041C0700X
Clinical Social Worker
0904012312
VA
1041C0700X
Clinical Social Worker
149.024437
IL
1041C0700X
Clinical Social Worker
CSW.09927663
CO
1041C0700X
Clinical Social Worker
CW022658
PA
1041C0700X
Clinical Social Worker
LC50082256
DC
Other
Enumeration date
04/30/2018
Last updated
12/12/2022
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