Individual
CONNOR KEUNTJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCPC
Contact information
Practice address
15000 POTOMAC TOWN PL # 184, WOODBRIDGE, VA 22191-6586
(703) 493-0650
Mailing address
15000 POTOMAC TOWN PL # 184, WOODBRIDGE, VA 22191-6586
(703) 493-0650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009042
VA
101YP2500X
Professional Counselor
LC12515
MD
101YP2500X
Professional Counselor
PRC14465
DC
Other
Enumeration date
08/18/2009
Last updated
09/23/2025
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