Individual
MRS. KASEY LYNN GORDON CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RESIDENT INCOUNSELIG
Contact information
Practice address
2850 EISENHOWER AVE, ALEXANDRIA, VA 22314-4565
(703) 991-6005
Mailing address
6405 BARDU AVE, SPRINGFIELD, VA 22152-2402
(703) 256-1219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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