BRENDA WYATT

FALLS CHURCH, VA
NPI1346592359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  710102183)
Enumeration Date2012-10-15
Last Update Date2012-10-15
Business Address
-- BRENDA WYATT CSAC
3300 GALLOWS RD CATS AT FFX HOSPTIAL
FALLS CHURCH, VA 22042-3307
Phone number: 703-289-7573
Mailing Address
-- BRENDA WYATT CSAC
14489 WHISPERWOOD CT
DUMFRIES, VA 22025-1133
Phone number: 703-835-6360