SearchVirginia1041C0700X

Jessica Tibbetts, LCSW

NPI 1891138038 · on the registry since 2013 · sole proprietor

Practice

Address
7010 Braddock Rd
Annandale, VA 22003
Phone
(703) 941-0780
Fax
(703) 941-0780
Organisation at this address
Phillips Programs
Phillips Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
VA, DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-04-08

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