Organization
GATEWAY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN FITZSIMMONS PSYD, LPC (PRESIDENT)
(540) 663-0574
Entity
Organization
Contact information
Practice address
5506 PAYNE DR, KING GEORGE, VA 22485-6213
(540) 663-0574
(540) 663-0576
Mailing address
PO BOX 149, DAHLGREN, VA 22448-0149
(540) 663-0574
(540) 663-0576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003741
VA
2084P0800X
Psychiatry Physician
0101050361
VA
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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