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Individual

MRS. KATHERINE A TAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
133 PARK ST NE, SUITE 3B, VIENNA, VA 22180-4666
(571) 206-4878
Mailing address
133 PARK ST NE, SUITE 3B, VIENNA, VA 22180-4666
(571) 206-4878

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC0700X
Clinical Psychologist
3960
NC

Other

Enumeration date
06/18/2010
Last updated
06/06/2016
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