Jennifer Regenia Rivers, LPC
Counselor, Professional in Lake Ridge, VA. Individual provider (NPI-1).
NPI number1265044697
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1265044697
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Regenia Rivers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701003755 | VA | Yes |
| 101YP2500X | Counselor, Professional | PRC14302 | DC |
Practice location
11614 Amara PlLake Ridge, VA 22192-7414
Phone 571-438-1943
Mailing address
11614 Amara PlLake Ridge, VA 22192-7414
Phone 571-438-1943
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