person
Jeffrey Adam Blevins, LPC-R,MA,CCISM
Mental Health Counselor in Chantilly, Virginia
NPI 1790566917

Jeffrey Adam Blevins is a Mental Health Counselor based in Marion, VA and is specialized in Mental Health. Jeffrey Adam Blevins practices in Chantilly, VA and has the professional credentials of LPC-R,MA,CCISM. The NPI Number for Jeffrey Adam Blevins is 1790566917 and holds a License No. 0704016324 (Virginia).

The current practice location address for Jeffrey Adam Blevins is 4229 Lafayette Center Dr Ste 1675, Chantilly, VA and can be reached out via phone at 855-326-4673.

Location: 4229 Lafayette Center Dr Ste 1675, Chantilly, VA, 24354-2211
person
Provider Profile Details
NPI Number
1790566917
Provider Name
Jeffrey Adam Blevins
Credential
LPC-R,MA,CCISM
Provider Entity Type
Individual
Gender
Male
Address
4229 Lafayette Center Dr Ste 1675, Chantilly, VA, 24354-2211
Phone Number
855-326-4673
Fax Number
Provider Enumeration Date
10/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4229 Lafayette Center Dr Ste 1675
City
State
Zip
20151-1270
Phone Number
855-326-4673
Fax Number
person
Provider Business Mailing Address Details
Address
4229 Lafayette Center Dr Ste 1675
City
State
Zip
20151-1270
Phone Number
855-326-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0704016324 (Virginia)
Definition
Definition to come...
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