Individual
MRS. ELIZABETH A J KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10427 NORTH ST STE 201, FAIRFAX, VA 22030-2592
(706) 662-9209
Mailing address
10427 NORTH ST STE 201, FAIRFAX, VA 22030-2592
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011469
VA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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