SearchVirginia104100000X

Jacquelyn Custer, BSW

NPI 1871273847 · on the registry since 2023

Practice

Address
10521 Rosehaven St Ste 100
Fairfax, VA 22030
Phone
(703) 352-3822
Organisation at this address
Progenix Llc
H3 Nutrition, Llc
Excel Rehabilitation, Pllc
Child & Family Counseling Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2023-08-21

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