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AUDREY DENKLER TALLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3170 ELLENWOOD DR, FAIRFAX, VA 22031-2000
(703) 261-9559
Mailing address
3170 ELLENWOOD DR, FAIRFAX, VA 22031-2000
(804) 207-6737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012967
VA
101YP2500X
Professional Counselor
0701012967
VA

Other

Enumeration date
01/12/2022
Last updated
11/05/2024
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