Individual
DR. KAY M DICHARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCP
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701002492
VA
103TC0700X
Clinical Psychologist
Primary
0810000290
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287547
ANTHEM, LEESBURG
VA
01
—
287548
ANTHEM, ELMHC
VA
01
—
293874
AMERIGROUP
VA
Enumeration date
08/29/2006
Last updated
09/07/2007
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