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MRS. JEANNIE HASTON LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1275683765
Individual Registrant:MRS. JEANNIE HASTON LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
10390 DEMOCRACY LN FAIRFAX, VA 22030-2522 US
Tel: 703-219-2574 Fax: 703-591-5775
Tel: 703-219-2574 Fax: 703-591-5775
Contact information for business:
10390 DEMOCRACY LN FAIRFAX, VA 22030-2522 US
Tel: 703-246-2892 Fax: --
Tel: 703-246-2892 Fax: --
Registration Information:
NPI: 1275683765
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
