Individual
MRS. KATHRYN GWALTNEY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 N SARATOGA ST, SUITE 1, SUFFOLK, VA 23434-5255
(757) 539-5353
(757) 539-5399
Mailing address
129 N SARATOGA ST, SUITE 1, SUFFOLK, VA 23434-5255
(757) 539-5353
(757) 539-5399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006687
VA
Other
Enumeration date
07/20/2016
Last updated
12/08/2016
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