Individual
KAMISHA CHANEL BRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
(703) 884-3878
Mailing address
800 CORPORATE DR STE 301, STAFFORD, VA 22554-4889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007457
VA
Other
Enumeration date
03/01/2018
Last updated
03/26/2020
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