Individual
KAITLIN FLORENCE INGEBRETSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, BC-DMT
Contact information
Practice address
8003 FRANKLIN FARMS DR, RICHMOND, VA 23229-5107
(804) 716-0428
Mailing address
8003 FRANKLIN FARMS DR RM 101, RICHMOND, VA 23229-5107
(804) 716-0428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011406
VA
225600000X
Dance Therapist
—
—
Other
Enumeration date
04/27/2022
Last updated
12/11/2023
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