Individual
GRAE WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 CHAIN BRIDGE RD STE C, FAIRFAX, VA 22030-3246
(703) 380-9045
Mailing address
11609 HELMONT DR, OAKTON, VA 22124-1219
(703) 772-3920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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