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Individual

BRIAN LETZKUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
9306 OLD KEENE MILL RD STE B, BURKE, VA 22015
(703) 634-9616
Mailing address
9306 OLD KEENE MILL RD STE B, BURKE, VA 22015-4280

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001470
VA

Other

Enumeration date
11/28/2018
Last updated
10/08/2019
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