Individual
MS. AMY FORTNEY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 TIMBER BRANCH DR, ALEXANDRIA, VA 22302-3622
(703) 919-2021
Mailing address
722 TIMBER BRANCH DR, ALEXANDRIA, VA 22302-3622
(703) 919-2021
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PGP-373961
VA
Other
Enumeration date
04/04/2013
Last updated
10/10/2013
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