Individual
KATHLEEN WALSH MATAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CCTP
Contact information
Practice address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(703) 831-8300
Mailing address
440 SENECA RD, GREAT FALLS, VA 22066-1111
(703) 298-8958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013405
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2020
Last updated
04/11/2024
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