IndividualActive
Jerly Henriquez, LPCR
NPI 1063225225 · Counselor · Fairfax, VA
Jerly Henriquez, LPCR is a Counselor provider in Fairfax, VA (NPI 1063225225).
Provider details
- NPI number
- 1063225225
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LPCR
- Sex
- Female
- Sole proprietor
- No
- License
- 0704016745 (VA)
Practice location
10721 Main St Ste 2400
Fairfax, VA 22030-6902
Phone: (703) 270-0225
Street-level locationGet directions
Mailing address
10721 Main St Ste 2400
Fairfax, VA 22030-6902
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.