JACK KITAEFF

FAIRFAX, VA
NPI1518300201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  1070)
Enumeration Date2013-04-11
Last Update Date2016-09-29
Business Address
Dr. JACK KITAEFF Ph.D.
10560 MAIN ST SUITE 518
FAIRFAX, VA 22030-7182
Phone number: 703-349-2999
Mailing Address
Dr. JACK KITAEFF Ph.D.
9020 FORT CRAIG DR
BURKE, VA 22015-2115
Phone number: 703-501-0129
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