Individual
KRISTY THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4551 STRUTFIELD LN, ALEXANDRIA, VA 22311-4967
(571) 403-1283
Mailing address
107 S WEST ST STE 740, ALEXANDRIA, VA 22314-2824
(571) 403-1283
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005491
VA
Other
Enumeration date
07/29/2014
Last updated
09/16/2021
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