Kendra Shaw Rascoe
Counselor, Professional in Fairfax, VA. Individual provider (NPI-1).
NPI number1861985673
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1861985673
- Entity type
- Individual (NPI-1)
- Name
- Kendra Shaw Rascoe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701007597 | VA | Yes |
Practice location
8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone 703-559-3112
Mailing address
8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
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