Individual
MISS KATHRYN ELIZABETH NIEZGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1709 COLLEY AVE, SUITE 216, NORFOLK, VA 23517-1675
(757) 604-9498
Mailing address
PO BOX 11763, NORFOLK, VA 23517-0763
(757) 604-9498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005086
VA
Other
Enumeration date
10/15/2011
Last updated
02/28/2013
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