Individual provider · Type 1 NPI

Kelly Bauer, LPC

Professional Counselor · Fairfax, VA

NPI number 1023199973 Active

Practice location

11200 Waples Mill Rd, Suite 180
Fairfax, VA 22030-7407

Call (703) 383-8333 Map

Fax (703) 383-3183

Mailing address

2099 N Collins Blvd, Suite 100
Richardson, TX 75080-2698

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1023199973

Kelly Bauer, LPC's National Provider Identifier is 1023199973, issued on Oct 18, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.