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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER REGENIA RIVERS, LPC

Active Sole Proprietor

JENNIFER REGENIA RIVERS, LPC is a Professional Counselor healthcare provider located in LAKE RIDGE, Virginia. NPI 1265044697 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · LAKE RIDGE, VA

Registration Details

NPI Number
1265044697
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2020 (5.9653610240506 yrs)
Last Updated
Aug 18, 2020
Licenses
PRC14302 (DC)
0701003755 (VA)
Sole Proprietor
Yes

Practice Information

Address
11614 AMARA PL
LAKE RIDGE, VA, 221927414
Browse VA providers · Browse ZIP 22192
Phone
5714381943
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.