Individual
KATHLEEN CLAGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8551 RIXLEW LN STE 100, MANASSAS, VA 20109-4277
(540) 212-6090
Mailing address
9000 LINTON LN, ALEXANDRIA, VA 22308-2756
(703) 517-4154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103481
VA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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