Individual
KATHLEEN FRANCES GORDON-GRANADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4402 KERRYBROOKE DR STE 250, ALEXANDRIA, VA 22310-1421
(971) 563-8889
(703) 841-2750
Mailing address
PO BOX 151162, ALEXANDRIA, VA 22315-1162
(971) 563-8889
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005040
VA
Other
Enumeration date
11/29/2012
Last updated
11/23/2021
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