Individual
ELLEN KRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 970-1367
(434) 972-1860
Mailing address
500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903-6500
(434) 970-1367
(434) 972-1860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004606
VA
Other
Enumeration date
12/31/2009
Last updated
03/18/2013
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