Individual
KEREN Y GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(703) 204-9100
Mailing address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(703) 204-9100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010869
VA
Other
Enumeration date
05/07/2015
Last updated
12/12/2023
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