KENNISE J BAKER

HERNDON, VA
NPI1972205425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0903003470)
Enumeration Date2023-03-20
Last Update Date2023-03-23
Business Address
KENNISE J BAKER LMSW
2343 DULLES STATION BLVD APT B04
HERNDON, VA 20171-6397
Phone number: 571-241-9834
Mailing Address
KENNISE J BAKER LMSW
11415 ISAAC NEWTON SQ S
RESTON, VA 20190-5005
Phone number:
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