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Jennifer Lynn Brock, LPC
Professional Counselor in Manassas, Virginia
NPI 1891156147

Jennifer Lynn Brock is a Professional Counselor based in Manassas, VA and is specialized in Professional. Jennifer Lynn Brock practices in Manassas, VA and has the professional credentials of LPC. The NPI Number for Jennifer Lynn Brock is 1891156147 and holds a License No. 0701006513 (Virginia).

The current practice location address for Jennifer Lynn Brock is 7969 Ashton Ave, Manassas, VA and can be reached out via phone at 703-792-7800 and via fax at 703-792-5699.

Location: 7969 Ashton Ave, Manassas, VA, 20109-2885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891156147
Provider Name
Jennifer Lynn Brock
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7969 Ashton Ave, Manassas, VA, 20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
Provider Enumeration Date
03/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004945247 05 VA
institution
Provider Business Practice Location Address Details
Address
7969 Ashton Ave
City
Manassas
State
Virginia
Zip
20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
person
Provider Business Mailing Address Details
Address
7969 Ashton Ave
City
Manassas
State
Virginia
Zip
20109-2885
Phone Number
703-792-7800
Fax Number
703-792-5699
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701006513 (Virginia)
Definition
Definition to come...
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