JENNIFER LYNN TANNER MHC - NPI 1801597299 - Counselor in Woodbridge, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Jennifer Lynn Tanner Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN TANNER MHC (NPI 1801597299) is an individual addiction (substance use disorder) provider in Woodbridge, Virginia, licensed in Virginia (0709025176) and active in the NPI registry since March 2023. She maintains a secondary practice location in Haymarket.

NPPES Registry Identity

NPI1801597299

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJENNIFER LYNN TANNERCredential: MHC

Location Address4899 PRINCE WILLIAM PKWYWoodbridge, VA 22192-5434

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (513) 873-1269

Phone(833) 510-4357

Sole ProprietorNo

Enumeration DateMarch 13, 2023

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1801597299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in VA · 0709025176

4899 PRINCE WILLIAM PKWY, Woodbridge, VA 22192

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Secondary Practice Location 1

Location 114950 Washington St Ste 201Haymarket, VA 20169-3001 · Phone (703) 307-2228

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY SUE TROMBLY

Social Worker (Clinical)