Individual
GRACE H CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1760 RESTON PKWY, RESTON, VA 20190-3388
(703) 592-6797
Mailing address
1760 RESTON PKWY, RESTON, VA 20190-3388
(703) 592-6797
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
03/04/2023
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