JENNIFER LAUREN WALL

LEESBURG, VA
NPI1699885095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2006-08-30
Last Update Date2007-11-14
Business Address
Ms. JENNIFER LAUREN WALL LPC
102 HERITAGE WAY NE STE 302
LEESBURG, VA 20176-4544
Phone number: 703-771-5100
Mailing Address
Ms. JENNIFER LAUREN WALL LPC
21641 RIDGETOP CIR #105
STERLING, VA 20166-6597
Phone number: 571-258-3026