Kord Hall Basnight, RESIDENT IN COUNSELI
NPI #1255011102 in Fairfax Station, Virginia
Provider Information
- NPI Number
- 1255011102
- Entity Type
- Individual
- Name
- Kord Hall Basnight, RESIDENT IN COUNSELI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- RESIDENT IN COUNSELI
- Enumeration Date
- Jul 24, 2023
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 9525 OAK STREAM CT
- City
- Fairfax Station
- State
- Virginia
- ZIP Code
- 22039-2650
- Phone
- (703) 861-6639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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