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CHRISTINE KROHL HEATON LPC, LMFT

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1467472340

Individual Registrant:
 CHRISTINE KROHL HEATON LPC, LMFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5120 FIRST ROAD  FAIRFAX, VA 22030 US
Tel: 703-691-1685  Fax: 703-691-1986

Contact information for business:
5120 FIRST ROAD  FAIRFAX, VA 22030 US
Tel: 703-691-1685  Fax: 703-691-1986

Registration Information:
NPI: 1467472340
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
VA0701003784
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
VA0717001095

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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