Most Relevant Information
Provider Data
| NPI Number: | 1003577610 |
| Provider Name: | KARIN LAYNE QMHP, CASAC-S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 0732005591 |
Most Important Dates
| Enumeration Date: | 01/05/2022 |
| Last Updated: | 01/05/2022 |
Provider Practice Location
205 S WHITING ST STE 600
ALEXANDRIA
VA
223047121
Practice Location Phone/Fax
| Phone: | 5712578631 |
| Fax: | 5712314304 |
Provider Mailing Location
205 S WHITING ST STE 600
ALEXANDRIA
VA
223047121
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |