Individual provider · Type 1 NPI
Jessica Laurent, LPC, CSOTP, BCN
Professional Counselor · Fairfax, VA
NPI number
1245900802
Active
Practice location
10505 Judicial Dr Ste 100
Fairfax, VA 22030-5157
Fax (703) 385-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005088 (VA) |
| Professional Counselor | 101YP2500X | E6353 (VA) |
| Professional Counselor Primary | 101YP2500X | 0701005088 (VA) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1245900802
Jessica Laurent, LPC, CSOTP, BCN's National Provider Identifier is 1245900802, issued on Sep 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Sep 15, 2021.