Provider Demographics
NPI:1033489935
Name:ROHN, JENNIFER KAREN (MA LMFT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:KAREN
Last Name:ROHN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:KAREN
Other - Last Name:RANDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:44050 ASHBURN SHOPPING PLZ STE 195-620
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7915
Mailing Address - Country:US
Mailing Address - Phone:703-996-9826
Mailing Address - Fax:
Practice Address - Street 1:24600 MILLSTREAM DR STE 340
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-5686
Practice Address - Country:US
Practice Address - Phone:703-996-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60259367101YM0800X
VA0717001577106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health