Individual
KACI KREILACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151-1270
(855) 326-4673
Mailing address
906 NE 13TH PL, CAPE CORAL, FL 33909-1510
(855) 326-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012863
VA
Other
Enumeration date
10/02/2023
Last updated
11/02/2023
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