Healthcare Provider Details

I. General information

NPI: 1720968605
Provider Name (Legal Business Name): LAURACHIOMA U JONES ATR-P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WASHINGTON ST STE 500
ALEXANDRIA VA
22314-2535
US

IV. Provider business mailing address

300 N WASHINGTON ST STE 500
ALEXANDRIA VA
22314-2535
US

V. Phone/Fax

Practice location:
  • Phone: 703-518-8883
  • Fax: 571-281-2321
Mailing address:
  • Phone: 703-518-8883
  • Fax: 571-281-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704018497
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number25-534
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: