Individual
CAROLYN GRACE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
3930 WALNUT ST STE 250, FAIRFAX, VA 22030-4750
(703) 878-3290
Mailing address
2842 DOVER LN APT 103, FALLS CHURCH, VA 22042-2823
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014720
VA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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