Individual
KACEY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 E MARKET ST, LEESBURG, VA 20176-3004
(540) 579-2804
Mailing address
19 E MARKET ST, LEESBURG, VA 20176-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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