Individual
KATHLEYN CARR KORNHEISL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 LOFTIS BLVD STE 102, NEWPORT NEWS, VA 23606-2999
(978) 998-5022
Mailing address
1030 LOFTIS BLVD STE 102, NEWPORT NEWS, VA 23606-2999
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017108
VA
Other
Enumeration date
02/21/2018
Last updated
12/03/2024
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