Individual
DR. ATHENA STAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Mailing address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717001136
VA
Other
Enumeration date
10/16/2007
Last updated
12/19/2007
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