Mary Jeanes, LCSW

NPI 1316168750 · on the registry since 2007 · sole proprietor

Practice

Address: 12761 Darby Brook Ct
Suite 101
Woodbridge, VA 22192
Phone: (703) 490-5090
Fax: (703) 490-1809
Organisation at this address: Abucar A. Abdulle, Md. Pc
For Children'S Sake Of Virginia
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia