Individual
MRS. KATHERINE NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
826 VANDERBILT TER SE, LEESBURG, VA 20175-4501
(607) 423-0130
Mailing address
826 VANDERBILT TER SE, LEESBURG, VA 20175-4501
(607) 423-0130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011090
VA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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