Individual
MR. MICHAEL JOHN KACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC; LMFT
Contact information
Practice address
3925 OLD LEE HWY, SUITE 52A, FAIRFAX, VA 22030-2426
(703) 385-7575
(703) 385-7578
Mailing address
3925 OLD LEE HWY, SUITE 52A, FAIRFAX, VA 22030-2426
(703) 385-7575
(703) 385-7578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001253
VA
106H00000X
Marriage & Family Therapist
0717000346
VA
Other
Enumeration date
06/03/2008
Last updated
01/28/2011
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