Individual
ANN BARRY TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 E DAVIS ST, CULPEPER, VA 22701-3011
(540) 829-9033
Mailing address
198 BEAN HOLLOW RD, FLINT HILL, VA 22627-1804
(540) 675-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-0088-4
—
VA
Enumeration date
01/09/2007
Last updated
07/08/2007
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