Individual
KARA BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
513 MAPLE AVE W, 2ND FLOOR, VIENNA, VA 22180-4238
(703) 405-5600
Mailing address
513 MAPLE AVE W, 2ND FLOOR, VIENNA, VA 22180-4238
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001418
VA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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