Individual provider · Type 1 NPI

Kristy Theodore, LPC

Professional Counselor · Alexandria, VA

NPI number 1912315342 Active

Practice location

4551 Strutfield Ln
Alexandria, VA 22311-4967

Call (571) 403-1283 Map

Mailing address

107 S West St Ste 740
Alexandria, VA 22314-2824

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701005491 (VA)

Professional Counselor: Definition to come...

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About NPI 1912315342

Kristy Theodore, LPC's National Provider Identifier is 1912315342, issued on Jul 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alexandria, VA. The record was last updated on Sep 16, 2021.