Kyle Groth
Counselor, Mental Health in Arlington, VA. Individual provider (NPI-1).
NPI number1093420002
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1093420002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kyle Groth
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 14, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
46 S Glebe Rd Ste 300Arlington, VA 22204-1672
Phone 703-841-0703
Mailing address
7331 Wayfarer DrFairfax Station, VA 22039-1906
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