Individual
MS. KATRINA LYNETTE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(703) 207-7895
(703) 653-6694
Mailing address
3113 FENNEGAN CT, WOODBRIDGE, VA 22192-1123
(703) 867-5109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008609
VA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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