Individual
KEHINDE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7350 HERITAGE VILLAGE PLZ UNIT 102, GAINESVILLE, VA 20155-3085
(571) 765-0057
Mailing address
10302 ALMOND TREE CT, MANASSAS, VA 20110-2798
(571) 765-0057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701008756
VA
101YP2500X
Professional Counselor
Primary
0701008756
VA
102X00000X
Poetry Therapist
0701008756
VA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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