Individual
KATIE WILSON CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 694-4361
(276) 694-3445
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 694-4361
(276) 694-3445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012267
VA
Other
Enumeration date
03/23/2023
Last updated
11/03/2023
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