Individual
MS. KATHLEENGE ANN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M,A,
Contact information
Practice address
12484 SILENT WOLF DR, MANASSAS, VA 20112-7502
(571) 425-5385
Mailing address
12484 SILENT WOLF DR., MANASSAS, VA 20112
(571) 425-5385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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