Individual
SHANNON RAE BIRKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5695 KING CENTRE DR STE B101, ALEXANDRIA, VA 22315-5747
(703) 680-9527
Mailing address
1633 4TH ST NW, WASHINGTON, DC 20001-1907
(908) 403-5465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008449
VA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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