Individual
KIRSTEN MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6007 MAYFAIR LN, ALEXANDRIA, VA 22310-1111
(202) 758-5356
Mailing address
6007 MAYFAIR LN, ALEXANDRIA, VA 22310-1111
(202) 758-5356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701007743
VA
101YP2500X
Professional Counselor
PRC14591
DC
Other
Enumeration date
06/15/2016
Last updated
11/21/2019
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