Individual
CATHERINE GRACE BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10712 BALLANTRAYE DR STE 310, FREDERICKSBURG, VA 22407-4702
(540) 784-1973
Mailing address
10712 BALLANTRAYE DR STE 310, FREDERICKSBURG, VA 22407-4702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
VA
101YM0800X
Mental Health Counselor
Primary
0704016361
VA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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