Individual
KAIREN MICHELLE LEVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
42009 VICTORY LN, LEESBURG, VA 20176-6269
(571) 212-3482
Mailing address
12265 DAPPLE GRAY CT, WOODBRIDGE, VA 22192-6214
(571) 212-3482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011526
VA
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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