Individual
MRS. MARY KATHLEEN KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10470 ARMSTRONG ST, FAIRFAX, VA 22030-3648
(703) 385-7575
(703) 385-7578
Mailing address
11518 CLARA BARTON DR, FAIRFAX STATION, VA 22039-1334
(703) 250-4302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003305
VA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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