Individual
KATHLEEN VAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 OLD DOMINION BLVD, BEDFORD, VA 24523-3285
(434) 847-8035
(434) 455-2720
Mailing address
620 COURT ST, LYNCHBURG, VA 24504-1312
(434) 847-8035
(434) 455-2720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008443
VA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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