Individual
KRYSTIE NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
205 S WHITING ST, ALEXANDRIA, VA 22304-7100
(703) 550-4848
Mailing address
4 ARENAS CT, CAPITOL HEIGHTS, MD 20743-5713
(202) 553-3080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006004
VA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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