Individual
KELLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8626 LEE HWY, FAIRFAX, VA 22031-2177
(703) 560-2600
Mailing address
2517 FERNWOOD DR, VIENNA, VA 22181-4020
(571) 217-9694
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001816
VA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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