Individual
COLLEEN AVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 N KENSINGTON ST, MC LEAN, VA 22101-4904
(703) 732-1007
Mailing address
6302 N KENSINGTON ST, MC LEAN, VA 22101-4904
(703) 732-1007
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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