Organization
KATHRYN H DERAFFELE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HANNAH DERAFFELE LCPAT, ATR-BC (OWNER)
(202) 441-8147
Entity
Organization
Contact information
Practice address
900 STEVENSON LN, TOWSON, MD 21286-7916
(202) 441-8147
Mailing address
900 STEVENSON LN, TOWSON, MD 21286-7916
(202) 441-8147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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