Individual
MADISON TAYLOR LOCKAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 COLVIN ST # 1A, ALEXANDRIA, VA 22314-5031
(703) 577-4061
Mailing address
140B PURCELLVILLE GATEWAY DR # 536, PURCELLVILLE, VA 20132-3485
(703) 577-4061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016243
VA
Other
Enumeration date
06/14/2023
Last updated
02/06/2024
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