Individual
KRISTIN MARIE VITKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1900 BYRD AVE, RICHMOND, VA 23230-3033
(919) 428-7209
Mailing address
2805 SABLE RD, HENRICO, VA 23233-1654
(919) 428-7209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005638
VA
101YP2500X
Professional Counselor
7167
NC
Other
Enumeration date
10/10/2008
Last updated
05/03/2022
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