Individual provider · Type 1 NPI

Jacqueline Dompereh

Mental Health Counselor · Alexandria, VA

NPI number 1417454364 Active

Practice location

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Call (703) 647-3826 Map

Fax (703) 546-0840

Specialties and licenses

TaxonomyCodeLicense
Health Educator 174H00000XNone listed
Adult Companion 372600000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1417454364

Jacqueline Dompereh's National Provider Identifier is 1417454364, issued on Apr 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Alexandria, VA. The record was last updated on Apr 8, 2018.