Individual
MRS. MIKYONG WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCDC, LPC, NCC
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0948
Mailing address
228 N PAYNE ST, ALEXANDRIA, VA 22314-2445
(703) 415-6049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9386
TX
101YP2500X
Professional Counselor
18596
TX
106H00000X
Marriage & Family Therapist
Primary
0114961
NM
Other
Enumeration date
04/02/2008
Last updated
09/23/2008
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