KORD BASNIGHT, RESIDENT IN COUNSELI

RESIDENT IN COUNSELI

Counselor

NPI: 1255011102Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

0704015863(VA)

Contact & Hours

Address: 9525 OAK STREAM CT
FAIRFAX STATION, VA 22039
Phone: (703) 861-6639

Quick Facts

NPI: 1255011102
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile