Individual
KIRAN W STAROSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3015 ROSEMOOR LN, FAIRFAX, FAIRFAX, VA 22031-2126
(703) 280-5131
(703) 876-8440
Mailing address
3015 ROSEMOOR LN, FAIRFAX, FAIRFAX, VA 22031-2126
(703) 280-5131
(703) 876-8440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008909717
—
VA
Enumeration date
07/16/2006
Last updated
03/06/2013
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