Individual
LAURA JANE KUCHINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3660 BOULEVARD, SUITE A, COLONIAL HEIGHTS, VA 23834-1345
(804) 520-7210
(804) 520-8953
Mailing address
3660 BOULEVARD, SUITE A, COLONIAL HEIGHTS, VA 23834-1345
(804) 520-7210
(804) 520-8953
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0904003279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086363
—
VA
05
—
106588
—
VA
05
—
4945280
—
VA
Enumeration date
07/01/2006
Last updated
07/09/2007
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