Healthcare Provider Details

I. General information

NPI: 1811800774
Provider Name (Legal Business Name): JENNIFER HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 FORT MYER DR STE 700
ARLINGTON VA
22209-3199
US

IV. Provider business mailing address

1655 FORT MYER DR STE 700
ARLINGTON VA
22209-3199
US

V. Phone/Fax

Practice location:
  • Phone: 703-662-1296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701016866
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: