Individual
KATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N COLUMBUS ST STE 201, ALEXANDRIA, VA 22314-2264
(571) 450-9145
Mailing address
5011 SIDEBURN RD, FAIRFAX, VA 22032-2637
(571) 420-8756
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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