Individual
MS. TAYLOR KEALOHA SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 N GLEBE RD, SUITE 104, ARLINGTON, VA 22203-3728
(703) 841-0703
(703) 243-7956
Mailing address
13157 MADONNA LN, FAIRFAX, VA 22033-3722
(530) 514-9645
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001265
VA
Other
Enumeration date
10/04/2006
Last updated
10/06/2014
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