Individual
KATHRYN O LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-420, FAIRFAX, VA 22031-4512
(571) 623-3500
(703) 204-9001
Mailing address
8221 WILLOW OAKS CORPORATE DR # 4-420, FAIRFAX, VA 22031-4512
(914) 255-2204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701008130
VA
101YP2500X
Professional Counselor
Primary
0701008130
VA
Other
Enumeration date
01/20/2019
Last updated
06/04/2024
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