Organization
KC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLER COSIMANO LCSW (OWNER)
(865) 804-5440
Entity
Organization
Contact information
Practice address
10676 HINTON WAY, MANASSAS, VA 20112-5882
(865) 804-5440
Mailing address
10676 HINTON WAY, MANASSAS, VA 20112-5882
(865) 804-5440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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