Individual
KEYONIA SHANEICE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 WASHINGTON BLVD FL 4, ARLINGTON, VA 22204-5717
(703) 228-1700
Mailing address
2100 WASHINGTON BLVD FL 4, ARLINGTON, VA 22204-5717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010462
VA
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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