Individual
KELLY KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10560 MAIN ST, FAIRFAX, VA 22030-7182
(571) 264-8192
Mailing address
10560 MAIN ST, FAIRFAX, VA 22030-7182
(571) 264-8192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014288
VA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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