Individual
KANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
12781 DARBY BROOK CT STE 101, WOODBRIDGE, VA 22192-2482
(703) 499-9889
Mailing address
17801 OYSTER BAY CT, DUMFRIES, VA 22026-4529
(571) 379-2702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015856
VA
Other
Enumeration date
01/01/2022
Last updated
12/10/2024
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