Individual
KATHRYN DELOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5953 10TH RD N, ARLINGTON, VA 22205-1636
(681) 222-0504
Mailing address
5953 10TH RD N, ARLINGTON, VA 22205-1636
(681) 222-0504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701011342
VA
101YM0800X
Mental Health Counselor
LC8519
MD
1041C0700X
Clinical Social Worker
LC8519
MD
Other
Enumeration date
07/12/2018
Last updated
09/25/2023
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