Male or Other

Brian P. Jennings LCSW

Specialist in Stafford, VA(View on Map)

Full Name

Brian Peter Jennings LCSW

NPI Number

1104895226

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/14/2006

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Virginia

License Number

0904005989

Contact
Information

Purpose

Mailing
Location

Address

4904 WAKEFIELD CHAPEL RD
11 HOPE RD

City

Annandale
Stafford

State

VA
VA

Postal Code

22003-4467
22554-7202

Country

US
US

Telephone Number

(703) 309-5080
(540) 658-0888

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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