Individual
MRS. KATHRYN HILLARY TEDESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
11250 ROGER BACON DR BLDG 10, RESTON, VA 20190-5219
(703) 962-7206
Mailing address
2661 HORTON HILL RD, HERNDON, VA 20171-2510
(703) 798-6291
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007801
VA
101YP2500X
Professional Counselor
PRC14648
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007801
BOARD OF COUNSELING
VA
Enumeration date
06/22/2018
Last updated
03/31/2020
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