MEDICARE: KAITLIN BRESNAHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		VA

General Provider Information

NPI Number	:	1922958479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN BRESNAHAN

Provider Business Mailing Address
First Line	:	1495 CHAIN BRIDGE RD STE 300
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-5727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1495 CHAIN BRIDGE RD STE 300
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-5727
Country	:	US
Telephone Number	:	703-598-5559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “ KAITLIN BRESNAHAN ” Practice Location

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