Individual
MS. KATHLEEN MAYOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
817 CULPEPER ST, FREDERICKSBURG, VA 22405-3316
(540) 222-2215
Mailing address
6 ALFALFA DR, SOUTH GRAFTON, MA 01560-1241
(860) 329-7449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701010548
VA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/16/2008
Last updated
03/09/2023
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