Jodie Fresolo Jameson
Mental Health
102 Heritage Way Ne Ste 302
Leesburg
, Virginia 20176-4544
Jodie Fresolo Jameson
Mental Health
102 Heritage Way Ne Ste 302
Leesburg
, Virginia 20176-4544
(703) 777-0170
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Jodie Fresolo Jameson
- 102 Heritage Way Ne Ste 302
- Leesburg, VA
- Zip : 20176-4544
- Fax : (703) 777-0170
- Phone : (703) 771-5100
Second Address
- Jodie Fresolo Jameson
- 102 Heritage Way Ne Ste 302
- Leesburg, VA
- Zip : 20176-4544
- Fax : (703) 777-0170
- Phone : (703) 771-5100
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Is Jodie Fresolo Jameson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | VA |
National Provider Identifier
| NPI | 1154835619 |
|---|---|
| Provider Name | Jodie Fresolo Jameson |
| First Address | Leesburg, VA 20176-4544 |
| Second Address | Leesburg, VA 20176-4544 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2017 |
| Last Update Date | 20/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.