Individual provider · Type 1 NPI
Malvolia La Frances Gregory, LPC (IN TRAINING)
Professional Counselor · Fairfax, VA
NPI number
1851551311
Active
Practice location
11230 Waples Mill Rd, Suite 105
Fairfax, VA 22030-6087
Fax (703) 208-1540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1851551311
Malvolia La Frances Gregory, LPC (IN TRAINING)'s National Provider Identifier is 1851551311, issued on Jun 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Jun 9, 2008.