Provider Demographics
NPI:1942983069
Name:BRYANT-CLAY, KIONA MONIQUE (LPC)
Entity Type:Individual
Prefix:
First Name:KIONA
Middle Name:MONIQUE
Last Name:BRYANT-CLAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIONA
Other - Middle Name:
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7544
Mailing Address - Country:US
Mailing Address - Phone:540-446-6057
Mailing Address - Fax:
Practice Address - Street 1:500 N WASHINGTON ST STE 102
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2390
Practice Address - Country:US
Practice Address - Phone:703-646-8806
Practice Address - Fax:703-507-5177
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health