Individual
KATHY MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10560 MAIN ST, SUITE 410, FAIRFAX, VA 22030-7182
(703) 353-8537
Mailing address
7001 UNION MILL RD, CLIFTON, VA 20124-1122
(202) 536-9608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0099361
NM
101YP2500X
Professional Counselor
Primary
0701004586
VA
Other
Enumeration date
07/07/2006
Last updated
03/20/2015
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