Individual
KAITLIN SUZANNE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1064 LASKIN RD STE 14C, VIRGINIA BEACH, VA 23451-6337
(757) 817-2577
Mailing address
1064 LASKIN RD STE 14C, VIRGINIA BEACH, VA 23451-6337
(757) 817-2577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704011937
VA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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