Individual
KATHARINE VITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LEE HWY STE 130, ARLINGTON, VA 22209-1109
(772) 492-6813
Mailing address
1501 LEE HWY STE 130, ARLINGTON, VA 22209-1109
(772) 492-6813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103530
VA
101YM0800X
Mental Health Counselor
Primary
0704014111
VA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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