Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KORD HALL BASNIGHT, RESIDENT IN COUNSELI
Active Sole ProprietorCounselor · FAIRFAX STATION, VA
Registration Details
- NPI Number
- 1255011102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2023 (2.7431622656299 yrs)
- Last Updated
- Jul 24, 2023
- License
-
0704015863 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9525 OAK STREAM CTFAIRFAX STATION, VA, 220392650Browse VA providers · Browse ZIP 22039
- Phone
- 7038616639
- Primary Specialty
-
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.