Organization
K. ANTOINETTE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA TABB LPC (OWNER)
(240) 723-2342
Entity
Organization
Contact information
Practice address
1905 HUGUENOT RD STE 305, NORTH CHESTERFIELD, VA 23235-4312
(240) 723-2342
Mailing address
1928 WALMART WAY, MIDLOTHIAN, VA 23113-2692
(240) 723-2342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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