Individual
KATHY HALLISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
35543 LEE DR, ROUND HILL, VA 20141-9403
(571) 246-1906
Mailing address
35543 LEE DR, ROUND HILL, VA 20141-9403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002896
VA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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