Individual
MISS KATELYN ELIZABETH CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 VISTA CENTRE DR STE 18, FOREST, VA 24551-2775
(434) 316-6025
(434) 316-7025
Mailing address
1107 COTTONTOWN MANOR DR APT 302, FOREST, VA 24551-2539
(434) 238-7709
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010378
VA
Other
Enumeration date
03/30/2021
Last updated
04/02/2021
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