Individual
MS. KIRSTEN MICHELE PETTAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 S POLLARD ST, ARLINGTON, VA 22204-5418
(703) 851-6342
Mailing address
2150 S POLLARD ST, ARLINGTON, VA 22204-5418
(703) 851-6342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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