Individual
MR. KYLE GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 S GLEBE RD STE 300, ARLINGTON, VA 22204-1672
(703) 841-0703
Mailing address
7331 WAYFARER DR, FAIRFAX STATION, VA 22039-1906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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