NPI 1609303312 · live from the CMS NPI Registry
Krista Clark
Marriage & Family Therapist in Falls Church, VA. National Provider Identifier 1609303312, active.
NPI record
| NPI | 1609303312 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 405 N Washington St Ste 310, Falls Church, VA 22046 |
| Practice phone | 703-672-3819 |
| Enumerated | May 12, 2017 |
| Last updated | September 12, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001837 (VA) |
| Marriage & Family Therapist | 106H00000X | MFT001706 (GA) |
| Marriage & Family Therapist primary | 106H00000X | AMFT000469 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.