Most Relevant Information
Provider Data
| NPI Number: | 1003307299 |
| Provider Name: | KASEY LYNN GORDON CAIN RESIDENT INCOUNSELIG |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2018 |
| Last Updated: | 05/23/2018 |
Provider Practice Location
2850 EISENHOWER AVE
ALEXANDRIA
VA
223144565
Practice Location Phone/Fax
| Phone: | 7039916005 |
| Fax: |
Provider Mailing Location
6405 BARDU AVE
SPRINGFIELD
VA
221522402
Provider Mailing Phone/Fax
| Phone: | 7032561219 |
| Fax: |