Individual
MRS. KRISTEN LEONARD FLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
718 J CLYDE MORRIS BLVD, SUITE D, NEWPORT NEWS, VA 23601-1540
(757) 912-5359
(757) 595-1885
Mailing address
718 J CLYDE MORRIS BLVD, SUITE D, NEWPORT NEWS, VA 23601-1540
(757) 912-5359
(757) 595-1885
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001230
VA
106H00000X
Marriage & Family Therapist
MFTINTERN, IMF 49868
CA
Other
Enumeration date
02/22/2007
Last updated
12/08/2011
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