Individual
KAITLIN WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10712 BALLANTRAYE DR STE 304, FREDERICKSBURG, VA 22407-4702
(703) 915-9416
(540) 710-9299
Mailing address
10712 BALLANTRAYE DR STE 304, FREDERICKSBURG, VA 22407-4702
(703) 915-9416
(540) 710-9299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005034
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701005034
LICENSED PROFESSIONAL COUNSELOR
VA
Enumeration date
09/03/2014
Last updated
09/03/2014
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