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Individual

KATHERINE MILAN VIRAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1133 JEFFERSON GREEN CIR, MIDLOTHIAN, VA 23113-4300
(804) 717-1111
(804) 717-1185
Mailing address
PO BOX 555, MIDLOTHIAN, VA 23113-0555
(804) 717-1111
(804) 717-1185

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
090400198
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008952752
VA
01
1033338
CIGNA
VA
01
461626
ANTHEM
VA
Enumeration date
11/20/2006
Last updated
02/17/2012
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