Individual provider · Type 1 NPI

Jennifer Lauren Wall, LPC

Addiction (Substance Use Disorder) Counselor · Leesburg, VA

NPI number 1699885095 Active

Practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Call (703) 771-5100 Map

Fax (703) 777-0170

Mailing address

21641 Ridgetop Cir, #105
Sterling, VA 20166-6597

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

127 other providers at this address

Other addiction (substance use disorder) counselor providers in Leesburg

See all in Leesburg →

About NPI 1699885095

Jennifer Lauren Wall, LPC's National Provider Identifier is 1699885095, issued on Aug 30, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leesburg, VA. The record was last updated on Nov 14, 2007.